In a highly pigmented client, the nurse would best assess for erythema by

a. follicular accentuation.
b. induration.
c. reddening of the skin.
d. striation.


A
Inflammatory changes are difficult to assess in dark-skinned clients, but follicular accentuation is clearly visible as a manifestation of erythema.

Nursing

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The nurse is working with an 83-year-old who was recently widowed. The client answers questions with one word, and offers very little information without prompting. The nurse should determine that the client:

1. Is still angry about the loss. 2. Is withdrawing. 3. Remains in shock. 4. Has accepted the loss.

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When assessing a patient's skin, which of the following characteristics of skin should the nurse keep in mind?

A) The epidermis is highly vascular. B) Lymphatic vessels drain the epidermis. C) Blood vessels in the dermis nourish the epidermis. D) Hair follicles originate in the dermis.

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Transmission of cytomegalovirus to an unborn fetus can result in what condition in the neonate?

a. cataracts c. mental retardation b. choanal atresia d. jaundice

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Which statement by a nurse demonstrates cultural competence?

a. "Without knowledge of cultural diversity, misunderstandings arise between patient and nurse." b. "Nurses who assume care for persons of different cultures need to assume those beliefs as their own in order to give good care." c. "Women of most cultures have adopted assertive communication." d. "Traditional healing practices should not be combined with Western medicine to treat a patient."

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