During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion
A) Macule B) Vesicle C) Pustule D) Cyst
B
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During a state of low perfusion or low blood pressure, the body may compensate by
A) decreasing heart rate. B) increasing heart rate. C) decreasing stroke volume. D) decreasing preload.
A director performs an annual appraisal on the ICU manager. The appraisal reflects several issues with regard to the manager?s attitude. At the end of the interview the manager informs the director that she disagrees with the appraisal
The director instructs the manager to sign the appraisal and ends the interview. The manager reports this situation to the human resources director because: 1. The interview was conducted in an unprofessional manner. 2. The appraisal was discriminatory. 3. The appraisal was not a fair evaluation. 4. The director appraised the manager?s attitude, which is unprofessional.
A client in the emergency department is diagnosed with a myocardial infarction (heart attack). The client describes pain in his left arm and shoulder. What name is given to this type of pain?
A) Cutaneous pain B) Referred pain C) Allodynia D) Nociceptive
A client who has been diagnosed as having paranoid schizophrenia is highly suspicious and delu-sional. He hears voices telling him terrorists are plotting to assassinate him. He refuses to eat, saying the food is poisoned
The nursing action that best addresses his needs is to: 1. Explain that others eat the food and are not harmed 2. Allow client to select food from vending machines 3. Assist client with personal hygiene and grooming 4. Not allow client to verbalize delusional thoughts