The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid-filled blister?

a. Pustule
b. Papule
c. Wheal
d. Vesicle


ANS: D
A vesicle is an elevated, fluid-filled blister (cold sore, chickenpox).

Nursing

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The nurse is caring for a geriatric client with thin, chapped, itchy skin. Which nursing intervention should the nurse alter in the plan of care?

A) Use of a gait belt for ambulation B) Maintenance of foam pad on wheelchair C) Daily bathing with warm-hot water D) Applying lanolin ointment

Nursing

In what year did the Aboriginal Land Rights Act come into effect?

a. 1965. b. 1970. c. 1976. d. 1978.

Nursing

A patient who is a war veteran states, "It should have been me that died. I'll never forgive myself for leaving my buddy when he needed me." The nurse recognizes this statement is most associated with which diagnosis?

a. Bipolar depression b. Generalized anxiety c. Obsessive-compulsive disorder d. Post-traumatic stress disorder (PTSD)

Nursing

The long-term facility nurse is aware that the anxious female resident can frequently be calmed by:

a. stimulating her with group activity. b. sedating her to allow her to sleep. c. allowing time alone to control her anxiety. d. offering a diversion of quiet activity, such as a jigsaw puzzle.

Nursing