A newly admitted 86-year-old patient has scratch marks in the groin and axilla and on her limbs. There are small, punctate red lesions that the patient says itch "like crazy." Which is the most likely cause and the best nursing action?
a. Senile purpura, and employs skin tear precautions
b. Scabies, and employs Standard Precau-tions
c. Senile itch, and employs use of emollient
d. Allergy, and employs focused assessment for cause
B
Scabies is treated with Standard Precautions to avoid spread of infestation.
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A patient has been prescribed chloramphenicol (Chloromycetin) vancomycin-resistant enterococci. How is this medication eliminated from the body?
A) Through the liver B) Exhaled through the lungs C) Excreted in the urine D) Excreted in the bile
Which type of therapy is facilitated by a bond that developed between the therapist and the client?
A) Behavioral therapy B) Supportive psychotherapy C) Interpersonal psychotherapy D) Cognitive therapy
A nurse is teaching a patient about the use of sildenafil [Viagra] for erectile dysfunction. Which statement by the patient indicates understanding of the teaching?
a. "If my erection lasts longer than 4 hours, I should contact my provider." b. "I should not use nitroglycerin within 12 hours of using sildenafil." c. "I should take this drug about 15 minutes before sexual activity." d. "This drug may cause me to have an erec-tion when I don't want one."
The nurse suspects metastasis from left breast cancer to the thoracic spine when the client has which symptom?
A. Vomiting B. Back pain C. Frequent urination D. Cyanosis of the toes