A nurse at the dermatology office triages calls. Which of the following clients is the highest priority to follow up?
A) A 2-year-old with diaper rash
B) A 20-year-old with red sunburn on the chest and arms
C) A 78-year-old with a lesion that is black, swollen, and draining liquid
D) A 90-year-old with flat discolored spots on face
Ans: C
In general, the following characteristics of a skin lesion warrant medical evaluation: redness, swelling, dark pigmentation, moisture or drainage, pain or discomfort, raised or irregular edges around a flat center.
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A nurse cares for a client who has a chest tube. When would this client be at highest risk for developing a pneumothorax?
a. When the insertion site becomes red and warm to the touch b. When the tube drainage decreases and becomes sanguineous c. When the client experiences pain at the insertion site d. When the tube becomes disconnected from the drainage system
A client in labor reports a feeling of burning pain during the second stage of labor. This type of pain is associated with:
a. visceral pain. b. tissue ischemia. c. somatic pain. d. cervical dilation.
A group of clients attend an educational program focused on prevention and screening activities for breast cancer. Based on the Health Belief Model, which participant should the nurse anticipate will most likely engage in available screenings?
A. The client who is attending the program as a course requirement. B. The client attending in support of the presenter. C. The client who agreed to attend in support of another participant. D. The client whose mother and grandmother have a history of breast cancer.
What is the primary site for uncomplicated local gonococci infections in men?
a. Epididymis b. Lymph nodes c. Urethra d. Prostate