A patient who is HIV positive comes to the clinic with concerns about a new skin lesion
Which assessment findings would the nurse evaluate as indicating possible Kaposi's sarcoma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The lesion turns a whitish color when pressure is applied.
2. The lesion is flat.
3. The lesion is a purple-brown color.
4. The lesion is the size of a quarter.
5. The lesion is raised.
2,3,4,5
Rationale 1: The lesions associated with Kaposi's sarcoma do not blanch.
Rationale 2: Lesions associated with Kaposi's sarcoma can be flat.
Rationale 3: The lesions associated with Kaposi's sarcoma are a purple-brown color.
Rationale 4: The lesions associated with Kaposi's sarcoma are of varying sizes and shapes.
Rationale 5: The lesions associated with Kaposi's sarcoma can be raised.
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The nurse suspects the patient is experiencing dumping syndrome. How might the nurse help to alleviate this problem?
A) Stop the tube feed. B) Increase the hourly feed rate. C) Dilute the feeding solution. D) Administer an antidiarrheal.
An older adult patient is assessed by the nurse as showing signs of fluid volume excess, which are:
1. redness, warmth, and drainage of fluid at the IV site. 2. redness, warmth, and tenderness at the IV site. 3. complaints of shortness of breath and pounding pulse. 4. puffiness of face, dyspnea, and pain at the IV site.
Which statement by the nurse indicates understanding of the nurse practice act?
a. "The nurse practice act defends any action the nurse may take.". b. "The nurse practice act defines the scope of practice for each level of licensure.". c. "The nurse practice act details pay raises for each year of service to an organiza-tion.". d. "The nurse practice act has language that grants nurses vacation time.".
Identify the element that has been found most effective in the reduction of technology-related errors in client care
a. Extended periods of training b. Computer-based reminder systems c. Systems involving 8 to 10 steps d. Hiring only the most intelligent nurses