What is most likely?
Jacob, a 33-year-old construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass.
A) An enlarged lymph node
B) A sebaceous cyst
C) An actinic keratosis
D) A malignant lesion
B) A sebaceous cyst
This is a classic description of an epidermal inclusion cyst resulting from a blocked sebaceous gland. The fact that any lesion is enlarging is worrisome, but the other descriptors are so distinctive that cancer is highly unlikely. This would be an unusual location for a lymph node, and these do not usually drain to the skin.
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a. Case manager b. Care giver c. Educator d. Advocate e. Counselor
In caring for a client with rheumatic heart disease, the nurse knows that priority interventions will be to:
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The client with a history of seizure disorder is having a routine serum phenytoin level drawn
The nurse who receives a telephone report of the results notes that the client's blood level of the medication is within the therapeutic range if the value reported is which of the following? 1. 6 mcg/mL 2. 15 mcg/mL 3. 28 mcg/mL 4. 35 mcg/mL
When advising a parent about the appropriate length of time for a disciplinary "time out" for a 3-year-old toddler, the nurse would recommend a time of:
a. 1 minute b. 2 minutes c. 3 minutes d. 4 minutes