A client has bilateral patchy areas of skin depigmentation on the arms and the face. Which action by the nurse is best?
a. Assess the client's mucous membranes.
b. Draw a laboratory specimen for thyroid hormone levels.
c. Schedule the client for fasting blood glu-cose.
d. Question the client about sexual function-ing.
A
Vitiligo, patchy areas of depigmentation of the skin, is associated with primary hypofunction of the adrenal glands. Other assessment findings in this condition include uneven pigmentation on the mucous membranes. The other assessments are not related to vitiligo.
You might also like to view...
Which action should the nurse take to prevent emotional contagion when working with hospitalized depressed clients? Expect the clients to:
1. Be appreciative of a daily one-to-one session. 2. Be open to working on their problems. 3. Show improvement within 24 hours after admission. 4. Be disinterested in a nurse–client relationship.
A client diagnosed with an adjustment disorder says to the nurse, "Tell me about medications that will cure this problem." Which of the following are appropriate nursing responses? (Select all that apply.)
1. "Medications can interfere with your ability to find a more permanent problem solution." 2. "Medications may mask the real problem at the root of this diagnosis." 3. "Adjustment disorders are not commonly treated with medications." 4. "Psychoactive drugs carry the potential for physiological and psychological dependence." 5. "Psychoactive drugs will be prescribed only if your problems persist for more than three months."
The discharge nurse is teaching insulin administration to an older patient. Which teaching strategy would be best?
1. Provide written materials to reinforce the verbal instructions. 2. Encourage repetitive exercises to review new information until it is understood. 3. Allow longer teaching times to compensate for a slower learning pace. 4. Provide instruction to relatives so the patient will not be overwhelmed with new information.
In which phase of drinking behavior of an alcoholic would you notice the person beginning to drink alone, hiding alcohol, and being preoccupied with his or her supply of alcohol?
a. prealcoholic b. early alcoholic c. true alcoholic d. chronic alcoholic