The nurse notes small (less than 0.5 cm), raised areas that contain serous fluid on a patient's arm. What term should the nurse use to document this finding?
a. Cyst
b. Papule
c. Macule
d. Vesicle
ANS: D
A vesicle is a small fluid-filled blister. C. A macule is a flat change in color usually less than 1 cm. B. A papule is a solid raised lesion. A. A cyst is a closed sac or pouch.
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Clear water is used to cleanse the eyes. It is important to use proper technique when cleansing the eyes to prevent infection, and the direction in which the water should flow is:
a. upward toward the forehead. b. downward toward the chin. c. from the outer toward the inner canthus. d. from the inner toward the outer canthus.
During health class a student asks the school nurse how come flatus smells. What would be the nurse's best response?
A) Intestinal bacteria form chemicals that cause odor. Gas is also formed. Among the gases formed are hydrogen sulfide and ammonia, and they are expelled from the body as flatus. B) Intestinal bacteria form chemicals that make our stool smell. C) By the time we expel flatus from our rectum it has picked up all the bad smells from what is in our intestines. D) Flatus doesn't smell until it hits the air.
Which statement made by a mother is consistent with a developmental delay?
a. "I have noticed that my 9-month-old infant responds consistently to the sound of his name." b. "I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand." c. "I am so happy when my 1 1/2-month-old infant smiles at me." d. "My 5-month-old infant is not rolling over in both directions yet."
A 50-year-old male is diagnosed with pulmonary embolism (PE). Which of the following symp-toms most likely occurred before treatment is initiated?
a. Dry cough and inspiratory crackles b. Shallow respirations and wheezing c. Chest pain and shortness of breath d. Kussmaul respirations and back pain