The nurse notes small (less than 0.5 cm), raised areas that contain serous fluid on a patient's arm. What term would the nurse use to document this finding?

a. Macule
b. Papule
c. Cyst
d. Vesicle


ANS: D
A vesicle is a small fluid-filled blister. A macule is a flat change in color usually less than 1 cm. A papule is a solid raised lesion, and a cyst is a closed sac or pouch.

Nursing

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The nurse would assess that the individual most at risk for death from coronary heart disease (CHD) is a

a. 30-year-old Hispanic woman. b. 42-year-old Caucasian woman. c. 55-year-old Asian man. d. 62-year-old African American woman.

Nursing

A nurse is caring for a client who has had long-term marijuana use. Which of the following phys-ical effects should be of priority concern to the nurse?

a. Constipation b. Cardiac dysrhythmia c. Abdominal pain d. Respiratory tract damage

Nursing

A 6 month old is exhibiting signs of gastroesophageal reflux. A nursing intervention to aid in decreasing pain would be:

1. Elevating the head of the bed 30 degrees. 2. Providing large amounts of formula every three hours. 3. Thinning formula so it decreases occurrences. 4. Keep the baby held upright for an hour after feedings.

Nursing

Janice Majors is a nurse at an urban high school. Periodically, Janice helps one of the teachers conduct classes on parenting skills. In these classes she focuses on child health promotion and

believes that it is important to tell students that after their first year of life, the leading cause of death of children is: 1. Accidental injuries. 2. Cancer. 3. Child abuse. 4. Infectious disease. 5. Sudden infant death syndrome (SIDS).

Nursing