During the physical assessment of a client, the nurse observes flat, round, colored, nonpalpable areas on the face. How should the nurse document this finding?
A) Papules
B) Macules
C) Pustules
D) Nodules
B
Feedback:
The nurse should document this finding as macules. A papule is an elevated, palpable solid. A pustule is an elevated, raised border filled with pus. A nodule is an elevated, solid mass, deeper and firmer than a papule.
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The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. What knowledge would act as the basis for the nurse's response?
a. This behavior indicates a normal curiosity about sexuality. b. Masturbation suggests the boy has an excessive fear of castration. c. It is usually a result of discomfort from a penile rash or irritation. d. The behavior is abnormal and the child should be referred for counseling.
The process by which a drug passes into the fluids of the body is called:
a. absorption. c. biotransformation. b. distribution. d. elimination.
The nurse has provided education about the action of histamines for a client. Which statement indicates an understanding of the information?
A. "Histamine is inhibited by nonsteroidal anti-inflammatory drugs (NSAIDs)." B. "Histamine dilates the vessels in the nose, so it is congested and stuffy." C. "Histamine constricts vessels, causing capillaries to become more permeable." D. "Histamine is primarily stored in phagocyte cells in the skin."
The nurse recognizes that the client in this figure has a sign of ____________________. (Your answer should appear as a number [e.g., 1, 2, 3, or 4].)
1. Kyphosis 2. Lordosis 3. Osteoporosis 4. Scoliosis