The nurse notices a circular lesion with a red border and clear center on the arm of an 18-year-old summer camp counselor who is in the camp clinic complaining of chills and muscle aches. Which action should the nurse take next?
a. Palpate the abdomen.
b. Auscultate the heart sounds.
c. Ask the patient about recent outdoor activities.
d. Question the patient about immunization history.
ANS: C
The patient's clinical manifestations suggest possible Lyme disease. A history of recent outdoor activities such as hikes will help confirm the diagnosis. The patient's symptoms do not suggest cardiac or abdominal problems or lack of immunization.
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While assisting the elderly client who has dry skin with personal hygiene, the nurse:(Select all that apply) Standard Text: Select all that apply
1. Uses soap to cleanse the skin 2. Thoroughly rinses the skin 3. Bathes the client daily 4. Uses moisturizing cream 5. Avoids using oily creams
For a patient of Mexican heritage, which are beliefs about health?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Result of good luck B. Reward for good behavior C. Gift from God D. Protected by wearing religious medals E. Avoiding the use of herbs and spices
A nurse is administering a drug by piggyback infusion to a client with burns. Which of the following describes the most important feature of a piggyback infusion?
A) Primary IV solution is infused by gravity. B) Medication is given all at one time as quickly as possible. C) Medication locks are changed every 72 hours. D) A parenteral drug is given in tandem with IV solution.
Which of the following foods are the best sources of calcium?
1. Spinach, broccoli, and winter squash 2. Apples, bananas, and watermelon 3. Whole-wheat, raisin, and rye breads 4. Salmon, sardines, and clams