Your patient complains of a progressive loss of pigment in various patches on the body. Affected skin surfaces are otherwise normal (e.g. no scaling, vesicles, elevation, or other changes). The most likely cause is:
A. Vitiligo
B. Acanthosis nigricans
C. Psoriasis
D. Pityriasis alba
ANS: A
With vitiligo, the patient often describes a history of the progressive development of small, multiple areas of depigmentation that, over time, become larger and confluent. There is no overlying scale or vesicle development. Any area of skin can be involved. The hair in the affected area may also lose pigmentation. There is a higher incidence of vitiligo in patients with autoimmune disorders, particularly those affecting the endocrine system, including hypothyroidism, diabetes mellitus, and Addison's disease.
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When describing the population of migrant workers to a local community group, a community health nurse would identify the population as which of the following?
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The nurse is planning a program to promote Healthy People 2020 focus areas relating to osteoporosis. Which of the following would appropriately serve as a primary prevention program?
1. The development of a program to address available medication therapies for the individual with osteoporosis. 2. Community screening programs to identify individuals who have early onset osteoporosis. 3. Community education programs to discuss methods that can be implemented to reduce the chance of developing osteoporosis. 4. The development of community support programs for individuals who have been diagnosed with osteoporosis.
Which physical effect is the nurse most likely to be concerned about when caring for a client who has had long-term marijuana use?
a. Constipation b. Cardiac dysrhythmia c. Abdominal pain d. Respiratory tract damage
The nurse and a female UAP are caring for a group of clients on a medical floor. Which action by the UAP warrants immediate intervention by the nurse?
1. The UAP washes her hands before and after performing vital signs on a client 2. The UAP dons sterile gloves prior to removing an indwelling catheter from a client 3. The UAP raises the head of the bed to a high Fowlers position for a client about to eat 4. The UAP uses a fresh plastic bag ot get ice for a clients water pitcher