The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)
a. Phototoxic reactions
b. Increased number of moles
c. Premature aging
d. Striae
e. Increased risk of skin cancer
ANS: A, C, E
Long-term effects of tanning include premature aging of the skin, increased risk of skin cancer, and, in susceptible individuals, phototoxic reactions. There has been no correlation to an increase in moles or striae (streaks or stripes on the skin, usually on the abdomen) development.
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A client has cirrhosis and has developed ascites and edema. Which laboratory value does the nurse correlate with this condition?
a. Blood glucose, 120 mg/dL b. Serum sodium, 135 mEq/L c. Serum albumin, 2.1 g/dL d. Blood urea nitrogen, 18 mg/dL
A client in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" What is the nurse's best response?
a. "It is due to an increase in gastric motility." b. "It may be due to changes in hormones." c. "It is related to an increase in glucose levels." d. "It is caused by a decrease in gastric secretions."
The nurse instructs a patient on the use of a metered-dose inhaler for asthma medications. To demonstrate understanding of the instructions, in which order should the patient self-administer this medication?
1. Rinse the mouth. 2. Exhale slowly and completely. 3. Shake the canister vigorously for 3 to 5 seconds. 4. Press and hold the canister down while inhaling deeply and slowly for 3 to 5 seconds. 5. Hold the breath for 10 seconds, release the pressure on the container, remove from the mouth, and exhale.
You report your concerns about patient care to your immediate supervisor, who seems unconcerned and tells you she is too busy to address the problem. You should
A) say nothing. B) inform the next person in authority. C) report to the physician. D) complete an incident report.