A febrile preschool-aged child presents to the after-hours clinic. Varicella is diagnosed on the basis of the illness history and the presence of small, circumscribed skin lesions filled with serous fluid
The nurse documents the varicellar lesions as which type of skin lesion?
a. Vesicle
b. Wheal
c. Papule
d. Pustule
ANS: A
Vesicles are circumscribed, elevated skin lesions filled with serous fluid that measure less than 1 cm. Wheals are irregularly shaped, elevated areas of superficial localized edema that vary in size. They are common with bug bits and hives. Papules are palpable, circumscribed, solid elevations in the skin that are smaller than 1 cm. Pustules are elevations of skin similar to vesicles, but they are filled with pus.
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The nurse is preparing to conduct a research study and is interested in exploring the lived experiences of nurses responsible for approaching patients and family members about the donation of organs. This type of research would be considered:
a. grounded theory. b. ethnography. c. historical. d. phenomenologic.
Each of the following is a primary reason that documentation is important except which one?
a. Documentation enables the team to provide care to meet the resident's individual needs. b. Documentation helps defend the nurse in the event of a possible lawsuit. c. Documentation enables the patient to receive consistent care from one shift to the next. d. Documentation is the basis for reimbursement to the facility.
What does the elevation in the eosinophil count to 10% indicate?
a. Anemia b. Allergy c. Infection d. Hypoxia
Which of the following are cues rather than inferences? Choose all correct answers
1) Ate 50% of his meal 2) Patient is depressed today 3) States, "I slept well" 4) White blood cell count 15,000/mm3