The client has two skin lesions, each the size of a nickel, on his chest. Both lesions are flat and a darker color than the rest of the client's skin. How would you document this finding?
A. Two 2-cm hyperpigmented patches
B. Two 1-inch erythematous plaques
C. Two 2-mm pigmented papules
D. Two 1-inch moles
A
Patches are larger, flat areas of the skin. The information provided does not indicate a mole or the presence of erythema.
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Which nursing assessment activities should be included for the child and family at each health supervision visit? Select all that apply
1. Interview to obtain an updated health history 2. Performing an age-appropriate development assessment 3. Monitoring parents' ability to pay for services 4. Performing age-appropriate screening examinations 5. Physical assessment for genetic abnormalities
A patient is diagnosed with acute pancreatitis. Which education about the basic mechanism of this disease would the nurse provide?
1. "The chemicals being produced by your pancreas are going to work too early and they are damaging the pancreatic tissues." 2. "Your pancreas has lost the ability to produce insulin." 3. "A major part of your inflammatory system is inhibited." 4. "Your blood pressure is elevated because of increased blood flow to your pancreas."
The federal Medicare program looks at services used by patients who fall into diagnosis-related groups (DRGs)
True False
A nurse suspects that the IV line infusing vincristine (Oncovin) has infiltrated. The nurse discontinued the line. Which other actions are indicated?
1. Apply local ice packs. 2. Inject hyaluronidase per protocol. 3. Place a tourniquet on the client's arm above the IV site. 4. Place warm compresses on the site. 5. Administer prednisone per protocol.