A client tells the nurse that flakes of skin come loose with every shampoo. Based on this data, which secondary skin lesion does the nurse suspect the client is experiencing?
A) Nodule
B) Macule
C) Scale
D) Crust
Answer: C
Scales are flakes of greasy, keratinized skin tissue that vary in color from white, gray, to silver. An example of this type of skin lesion is dandruff. Macules and nodules are primary skin lesions. A crust is an area of dry blood, serum, or pus left on the skin surface when vesicles or pustules break.
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The wife of a patient who is hospitalized in the critical care unit following resuscitation for a sudden cardiac arrest at work demands to meet with the nursing manager
She states, "I want you to reassign my husband to another nurse. His current nurse is not in the room enough to make sure he is okay." The nurse recognizes that this response most likely is due to the wife's: a. desire to pursue a lawsuit if the assignment is not changed. b. inability to participate in the husband's care. c. lack of prior experience in a critical care setting. d. sense of loss of control of the situation.
The nurse documents patient care using the SOAP format. Which should the nurse record under the "P" section?
a. AM fasting serum glucose level at 122 mg/dL b. Patient states, "I am too tired to walk to-day.". c. 2 cm–diameter open area on left lateral heel d. Check response to pain medication in 1 hour.
With the many threats to homeland security, the nurse planning for emergencies from bioterrorism is most concerned about which agent?
1. Cancer 2. Flu 3. Tuberculosis 4. Smallpox
During an assessment, the nurse determines that a client is experiencing sympathetic responses. Which of the following did the nurse assess in this client? (Select all that apply.)
1. Decreased heart rate 2. Increased bowel sounds 3. Dilated pupils 4. Increased heart rate 5. Increased blood pressure 6. Increased respiratory rate