The nurse is examing a pregnant woman in the third trimester. What skin changes should the nurse highlight as an alteration for the woman's healthcare provider?
1. Linea nigra
2. Melasma
3. Petechiae
4. Spider nevi
3
Rationale 1: This is the darkened area on the skin from the symphysis to the umbilicus that is normal in pregnancy.
Rationale 2: This is the "mask of pregnancy," which is normal.
Rationale 3: Petechiae are pinpoint red or purple spots on the skin. They are seen in hemorrhagic conditions.
Rationale 4: These are benign radiating blood vessels that are normal in pregnancy.
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An older man has Alzheimer disease, and his wife says he is up and wandering around the house at night. Which intervention should the nurse implement to increase the man's duration of sleep?
a. Instruct the wife to increase his daily physical activity. b. Collaborate with the health care provider to administer a hypnotic medication. c. Teach the wife how to apply a vest re-straint during sleep. d. Help the wife plan daily periods for nap-ping and activity.
Smoking contributes to an increased risk of heart and lung disease in children by which methods?
a. Air pollution b. Allergens in the environment c. Environmental smoke d. Lack of oxygen in the air
The patient taking digoxin (Lanoxin) has developed an infection. What antibiotic can the nurse safely administer to this patient?
A) Zithromax B) Erythromycin C) Tetracycline D) Cyclosporine
Nursing students describe actions while practicing physical assessment of a newborn using a model. Which nursing student's statement indicates the need for further teaching?
1. "I auscultated the infant's heart tones for 1 minute." 2. "I palpated peripheral pulses in all the newborn's extremities." 3. "I obtained a higher blood pressure on the legs than on the arms." 4. "I obtained the infant's heart rate by observing the cardiac monitor."