In the midline over your patient's sacral region, you observe several tiny openings. Which of the following are you most likely to find protruding from these openings?
a. hair c. scaly papules
b. moles d. skin tags
A
In the midline over the lower sacral area several tiny openings are seen with hair protruding from them. This is an abnormal acquired condition called a pilonidal cyst. Usually these cysts cause no problems. However, there can be an acute abscess or chronic draining sinus in the sacrococcygeal area. The openings will not have moles, scaly papules, or skin tags associated with them.
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An obese woman is seen in the emergency department complaining of headaches. Her blood pressure is 150/92 . Also present are her 4-year-old son and 2-year-old daughter
When the nurse offers to call a family member to pick up the children, the woman states that they are living alone in a women's shelter. What is the most appropriate action for the nurse to take? a. Instruct the client on proper nutrition and educate her regarding the dangers of hypertension. b. Make a referral for the client to a weight loss center. c. Assist the client to plan better coping strategies. d. Assess the family's daily living needs and consult social work for community resources.
The nurse, on a mission trip, is caring for a client with internal radiologic contamination from the fallout. The client states, "I need to get this out of me, and then I will be done with it
" The nurse is most correct to reply which of the following? A) "Yes, we need to assure that we clean any debris from your wound which may be contaminated." B) "Yes, but you may have lingering effects from the exposure to your body." C) "Yes, but you must also consider further exposure from contaminated food and water sources." D) Yes, we need to continue to document your recovery process and further disease processes."
Which of the following nursing actions is an example of the evaluation step in medication administration?
1. Obtaining the clotting time results of a patient on an anticoagulant 2. Asking the patient if he or she has any allergies to medications 3. Checking a drug reference to verify the action of the drug 4. Explaining to the patient the possible side effects of the drug
The presence of a fishy odor after adding potassium hydroxide to a wet mount slide containing vaginal mucus suggests:
a. bacterial vaginosis. b. yeast infection. c. chlamydial infection. d. pregnancy.