The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the anal area. This finding most likely indicates:

a. Pinworms.
b. Chickenpox.
c. Constipation.
d. Bacterial infection.


ANS: A
In children, pinworms are a common cause of intense itching and irritated anal skin. The other options are not correct.

Nursing

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You are the nurse caring for an unconscious trauma victim who needs emergency surgery. The patient is a 55-year-old man with an adult son

He is legally divorced and is planning to be remarried in a few weeks. His parents are at the hospital with the other family members. The physician has explained the need for surgery, the procedure to be done, and the risks to the children, the parents, and the fiancé. Who should be asked to sign the surgery consent form? A) The fiancé B) The son C) The physician, acting as a surrogate D) The patient's father

Nursing

A nurse is discussing sexual health with a 74-year-old female resident of an assisted living facility. Which of the nurse's following teaching points should be included in the discussion?

A) "Because the vagina becomes drier and its lining thinner with age, sexual experiences are normally not possible.". B) "A lot of changes occur with age, but most of these are chemical and hormonal rather than changes to body parts and structures.". C) "There are many changes to your reproductive system that accompany normal aging, but none of them rules out the possibility of still having satisfying experiences sexually.". D) "It's certainly possible for you to maintain a satisfying sexual relationship even though the hormones that affected you when you were younger no longer have an effect.".

Nursing

The nurse is planning to provide empathetic care to a client. Which statement by the nurse would best convey empathy?

a. I am sorry you have to be hospitalized. b. I understand how you feel. c. How do you feel about being in the hospital? d. It must be difficult to be in the hospital.

Nursing

A nurse is caring for a woman who has been battered for a number of years. Which of the fol-lowing has the client most likely seen an increase in over the years?

a. Self-blame b. Remorse by the man c. Severity of the abuse d. Emotional strength

Nursing