A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to set up for what diagnostic test to rule out a skin malignancy?
A) Tzanck smear
B) Skin biopsy
C) Patch testing
D) Skin scrapings
Ans: B
Feedback: A skin biopsy is done to rule out malignancies of skin lesions. Patch testing is performed to identify substances to which the patient has developed an allergy. Skin scrapings are done for suspected fungal infections. A Tzanck smear is used to examine cells from blistering skin conditions, such as herpes zoster.
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A nurse in the rehabilitation unit is caring for a 72-year-old patient who is in cardiac rehabilitation following a myocardial infarction. The nurse's plan of care calls for the patient to walk for 15 minutes three times a day
The patient asks why "walking is good for his heart." The nurse's best response is: A) "The arteries in your legs constrict when you walk and allow the blood to move faster and with more pressure on the tissue." B) "Walking decreases the heart's pumping ability and increases your heart rate and blood pressure; therefore your heart in under less stress." C) "Walking helps your heart adjust to your new arteries and provides a way to have fun." D) When you walk, the muscles in your legs contract and pump the blood in your veins back toward your heart, which allows more blood to return to your heart."
A patient has been taking chlorthalidone to treat hypertension. The patient's prescriber has just ordered the addition of spironolactone to the patient's drug regimen. Which statement by the pa-tient indicates a need for further teaching?
a. "I should continue following the DASH diet when adding this drug." b. "I should not take an ACE inhibitor when adding this drug." c. "I will need to take potassium supple-ments when adding this drug." d. "I will not experience a significant in-crease in diuresis when adding this drug."
In planning the care for an older adult patient, the nurse will best promote health and wellness by
a. encouraging independent living and self-care. b. scheduling regular cardiac and respiratory health screenings. c. effectively delivering health-related educational information. d. promoting a nutritious diet and an age-appropriate exercise routine.
A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take?
a. Check on the patient once a shift. b. Encourage visitors in the early evening. c. Place all four side rails in the "up" position. d. Keep the patient on fall risk until discharge.