Inspection of a patient's skin reveals the presence of an irregularly shaped brown patch covered with hair. The patch is palm-sized and is located on the patient's shoulder. The nurse anticipates which diagnosis of this finding?
1. Intradermal nevus
2. Halo nevus
3. Becker's nevus
4. Junctional nevus
3
Rationale 1: An intradermal nevus may have coarse, dark hairs, but it is small and pale or flesh colored, with pigmented flecks.
Rationale 2: A halo nevus is surrounded by a halo of hypopigmentation.
Rationale 3: Becker's nevus usually occurs on the shoulder, submammary area, or back. It consists of a brown macule or patch of hair and can be quite large, with irregular borders.
Rationale 4: A junctional nevus is less than 6 millimeters in diameter.
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When evaluating a client for risk factors for the development of atherosclerosis, the nurse should be concerned about which of the following?
a. high-density lipoprotein level 65 mg/dL c. family history of cigarette smoking b. hypotension d. low-density lipoprotein 130 mg/dL
A nurse who works with older adults is teaching a colleague about the similarities and differences between gerontology and geriatrics. Which of the following questions best conveys the focus of gerontology?
A) "How can we secure more funding for research and development of drugs specifically for older adults?" B) "How can we teach older adults about the relationship between their lifestyle and their health?" C) "How can we help older adults maintain wellness as they age?" D) "How can we reduce the incidence of falls among older adults who live in care facilities?"
The nurse is attending the birth of a premature neonate and prepares to do the 1-minute Apgar score of this infant. Assessment data shows the infant has a heart rate of 98, is not crying, has some flexion of the extremities, has a grimace when stimulated, and is very pale. Which will the nurse record as the Apgar score?
A. 6 B. 5 C. 4 D. 3
A patient is taking erythromycin ethylsuccinate for a chlamydial infection and develops vaginal candidiasis. The prescriber orders ketoconazole to treat the suprainfection. What will the nurse do?
a. Administer the erythromycin and the ketoconazole as ordered. b. Contact the provider to discuss changing to a different antifungal medication. c. Contact the provider to discuss increasing the dose of erythromycin. d. Contact the provider to suggest using erythromycin stearate.