The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth that are elevated approximately 1 to 3 mm. What other signs would the nurse expect to find in this patient?
a. Pink, papular rash on the face and neck
b. Pruritic vesicles over her trunk and neck
c. Hyperpigmentation on the chest, abdomen, and back of the arms
d. Red-purple, maculopapular, blotchy rash behind the ears and on the face
ANS: D
With measles (rubeola), the examiner assesses a red-purple, blotchy rash on the third or fourth day of illness that appears first behind the ears, spreads over the face, and then over the neck, trunk, arms, and legs. The rash appears coppery and does not blanch. The bluish-white, red-based spots in the mouth are known as Koplik spots.
You might also like to view...
The nurse is caring for a patient admitted to the hospital from a nursing home. The patient has a stage 3 pressure ulcer. The nurse is asked to document the wound appearance. What is the best way to initially document the appearance of the wound?
a. Use a ruler to accurately measure wound size. b. Use a clock analogy to describe wound location. c. Use objective terminology. d. Take a photograph of the wound.
The nurse has been monitoring the community's rates of cardiac disease and sees that they are increasing. The nurse holds a community forum to address the impact of cardiac disease on the community's health
Those attending are given information about cardiac disease including interventions related to diet and exercise to decrease risk. Several church groups who attend the forum offer to host health fairs to provide additional information to the community as well as transportation to physician visits for older community members. Public health services exemplified in this situation include: (Select all that apply.) 1. Monitoring health status to identify health problems. 2. Diagnosing and investigating health problems and hazards. 3. Informing, educating, and empowering people regarding health issues. 4. Mobilizing community partnerships to identify and solve health problems. 5. Engaging physicians to see older community members.
The major themes of empowerment, lifestyle change, health enhancement, and well-being are central in defining:
a. health promotion. b. health protection. c. disease prevention. d. wellness.
A client with a history of a cystocele should contact the physician if she experiences:
a. backache. b. constipation. c. urinary frequency and burning. d. involuntary loss of urine when she coughs.