A client is experiencing itching and is being assessed by the nurse. The nurse notes raised reddish areas with irregular borders on the client's arm. The nurse should:
1. ask the client about sun exposure.
2. ask the client about past cancer of the skin.
3. inquire about allergies to substances.
4. ask the client how the arm got injured.
Answer: 3
1. Sun exposure will present as diffuse, flat, reddened skin.
2. Skin cancer begins as moles or dark-colored patches.
3. The lesion described is a wheal, which is usually indicative of an allergic reaction.
4. The client's skin appearance is not consistent with an injury.
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A nurse is caring for a patient who is admitted into the cardiac care unit with acute, decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for administration of the drug, the nurse will
A) add the reconstituted vial of medication to a 1,000 mL IV bag. B) shake the vial vigorously to mix the medication for reconstitution. C) administer the initial IV bolus over approximately 60 seconds. D) use the reconstituted solution within a 36-hour period.
To minimize hypertrophic scarring of a client's burn wound, the nurse would anticipate providing which intervention?
a. Applying continuous pressure with elastic wraps b. Applying topical antimicrobial agents c. Debridement with enzymatic products d. Vigorous removal of all dead tissue
Short-term nursing center residents:
a. Have birth defects b. Have childhood injuries or diseases c. Are recovering from fractures, acute ill-ness, or surgery d. Are dying
The patient with a nasogastric (NG) tube in place may experience skin breakdown:
a. in the nose. b. on the tongue. c. behind the ears. d. around the lips.