A patient comes to you for the appearance of red patches on his forearms that have been present for several months. They remain for several weeks. He denies a history of trauma. Which of the following is likely?

A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
D) Cherry angiomas


C) Actinic purpura

Actinic purpura is a common benign skin condition of the elderly, frequently involving the forearms. Pseudoscars are white patches and cherry angiomas are bright-red raised lesions usually found on the torso. Actinic keratoses are lesions resembling nevi, often with features which would be concerning if considering melanoma (review the ABCDEs of melanoma), but they produce a slightly greasy scale when scratched with a nail.

Nursing

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A nurse working in an inpatient pediatric unit cares for many children with musculoskeletal impairments. Which outcome takes priority for these children?

A. Adapting to changing activity restrictions B. Continuing their growth and development C. Resuming ambulation as soon as possible D. Staying current with schoolwork with tutors

Nursing

The nurse is caring for a patient who is admitted to your unit with a diagnosis of venous ulceration unresponsive to treatment. What is the nurse most likely to find during an assessment of this patient?

A) Gangrene B) Heavy exudate C) Deep wound bed D) Pale wound bed

Nursing

The nurse is removing personal protective equipment (PPE). Which item should be removed first?

a. Gown b. Gloves c. Face shield d. Hair covering

Nursing

The nurse is preparing to insert a nasogastric tube into a 6-year-old child. What will the nurse include when performing this procedure? (Select all that apply.)

A) Apply sterile gloves B) Confirm placement with an x-ray C) Secure the tube to the nose with adhesive tape D) Lubricate the end of the tube with sterile water or water-soluble lubricating jelly E) Determine the length of the tubing by measuring from the tip of the nose to the tip of the sternum

Nursing