During the examination of an older client's skin the nurse notes an irregular, raised area on the forehead that is crusty with slight bleeding. What should the nurse ask the client about the lesion?
1. Does it bleed often?
2. Is it painful?
3. Does it go away at night?
4. Have other lesions healed?
Answer: 2
1. The nurse can see that the lesion bleeds.
2. Squamous cell carcinoma is painful. Asking the client about pain helps with the diagnosis.
3. This type of lesion does not recede at night.
4. Squamous cell carcinoma does not heal on its own.
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A newly admitted 5-year-old asks if he can wear his cowboy shirt. The nurse's response will be based on the understanding that wearing his own clothes will
a. Make child feel more comfortable b. Present an infection control problem c. Make caring for the child more difficult d. Not be permitted
When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended?
a. Increasing the intake of red meat and simple carbohydrates b. Reducing the intake of diuretic foods such as peaches and asparagus c. Temporarily substituting physical activity for a sedentary lifestyle d. Using a heating pad on the abdomen to relieve cramping
Describe the effect aloe vera has on the body, and its possible uses.
What will be an ideal response?
The nurse is providing family therapy for the family of an adolescent diagnosed with schizophrenia. When planning care for this client, which is the focus for the nursing interventions?
Select all that apply. A) Establishing boundaries B) Coping mechanisms C) Providing happiness D) Preventing future episodes E) Improving communication