While bathing the client, the nurse observes large purple-colored rashes on the client's chest. How should the nurse document this finding?
1. Papules
2. Erythema
3. Purpura
4. Petechiae
Answer: 3
1. Papules are raised red lesions.
2. Erythema is a redness of the skin.
3. Purpura are purple rashes caused by blood leaking under the skin.
4. Petechiae are pinpoint red discolorations.
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A 45-year-old mother of two children is seen at the clinic for complaints of "losing my urine when I sneeze." The nurse documents that she is experiencing:
a. Urinary frequency. b. Enuresis. c. Stress incontinence. d. Urge incontinence.
A nurse is assisting in the admission of a patient to the orthopedic unit of the hospital and is obtaining information for the database. Which technique is the best way for the nurse to obtain information from the patient?
a. Ask personal questions so as to show in-terest. b. Use medical vocabulary to appear com-petent. c. Ask why the patient waited so long to get treatment. d. Use silence while the patient collects his or her thoughts.
When developing a teaching plan for a patient receiving benztropine (Cogentin), a priority consideration for the nurse is
a. anticholinergic drugs often cause blurred vision. b. urinary frequency may impair the patient's concentration. c. akathisia produced by the drug will make concentration difficult. d. increased peristalsis might cause gastrointestinal distress and impair concentration.
Signs and symptoms of anxiety include which of the following?
a. Constipation b. A "lump" in the throat or "butterflies" in the stomach c. Low pulse, respirations, and blood pres-sure d. Dry skin