A patient complains of the sudden appearance of white patches on the skin. The nurse, suspecting vitiligo, should ask the patient which questions?
Select all that apply.
1. "Have any of your parents or grandparents had this problem also?"
2. "Have you been using bleach lately?"
3. "Have you had anything rubbing on those areas excessively?"
4. "What have you been eating lately?"
5. "Where are the white patches located on your body?"
Correct Answer: 1, 5
Vitiligo usually occurs in individuals as a result of a familial tendency. It usually occurs on the face, hands, or groin. It is not caused by irritation, chemicals, or dietary factors.
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Patience is 29 years old and has been HIV positive for 9 years. She has remained asymptomatic and is not taking antiretroviral medication
Recently she was at the drop-in clinic to talk to a public health nurse about having a baby through artificial insemination. She said she had met a man who wanted to marry her and have children with her, but she was concerned about the baby contracting HIV. Her latest blood tests indicated her CD4+ count was 380/ µL. The PCR test indicated her viral load was 850. The nurse referred her to the physician to discuss antiretroviral therapy during her pregnancy. What are the factors that increase the chance of HIV transmission from mother to infant, and how the transmission occurs? Patience was told that after she became pregnant, she would begin HAART therapy. Describe what this therapy is and what particular antiretroviral medication would be particularly useful to her during her pregnancy. What concern is there about administering certain antiretrovirals early in the pregnancy? Individuals with HIV are prone to contracting opportunistic infections. What are opportunistic infections and the risk factors that leave an individual with HIV particularly prone to contracting this type of illness?
What is considered the state in which a person experiences a disturbance in the belief or value system that provides strength, hope, and meaning to life?
1. Spiritual awakening 2. Impaired religiosity 3. Spiritual distress 4. Impaired belief
A client at 32 weeks' gestation is admitted with painless vaginal bleeding. Placenta previa has been confirmed by ultrasound. What should be included in the nursing plan? Select all that apply
1. No vaginal exams 2. Encourage activity. 3. No intravenous access until labor begins 4. Evaluate fetal heart rate with an external monitor. 5. Monitor blood loss, pain, and uterine contractility. Correct
When a baby is born with congenital scoliosis, the nurse should also assess for problems with which other organs?
A) Heart and lungs B) Liver and kidneys C) Heart and kidneys D) Lungs and liver