A patient has an area of rough, thickened, hardened epidermis. What should the nurse suspect as the reason for this skin lesion?
1. chronic dermatitis
2. athlete's foot
3. ear piercing
4. psoriasis
Correct Answer: 1
Lichenification is a rough, thickened, hardened area of epidermis resulting from chronic irritation such as scratching or rubbing. An example of lichenification is chronic dermatitis. A fissure is a linear crack with sharp edges, extending into the dermis. Examples include cracks at the corners of the mouth or in the hands, or those seen with athlete's foot. A keloid is an elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing. It extends beyond the site of the original injury. An example of a keloid is scar tissue from ear piercing. Scales are shedding flakes of greasy, keratinized skin tissue. Examples of scales include dry skin, dandruff, psoriasis, and eczema.
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The nurse notices that a co-worker seems to be distancing from a client who is dying from cancer. The nurse's best action is to:
1. Offer to trade assignments with this nurse. 2. Discuss the possibility of an unconscious distancing response with the co-worker. 3. Report her observations to the nurse supervisor. 4. Ask the co-worker if he has difficulty dealing with emotions.
A nurse is conducting parenting classes for parents of children ranging in ages 2 to 7 years. The parents understand the term egocentrism when they indicate it means:
a. selfishness. b. self-centeredness. c. preferring to play alone. d. unable to put self in another's place.
The nurse performing a lethality assessment asks the client whether he is thinking of suicide. Which statement by the client would be of most concern to the nurse?
A. "No, I wasn't, but I am now, thanks to you." B. "I hadn't thought of that, but I can see that you are." C. "Of course not, but there are days when I think that I should be." D. "What is suicide going to do for me except get me excommunicated from the church?"
In caring for an immediate postpartum client, you note petechiae and oozing from her IV site. You would monitor her closely for the clotting disorder:
a. Disseminated intravascular coagulation (DIC) b. Amniotic fluid embolism (AFE) c. Hemorrhage d. HELLP syndrome