A 65-year-old man is seen in the outpatient clinic for treatment of psoriasis. The nurse educates the patient to the possibility of developing
a. alopecia.
b. orange-tinged urine.
c. yellow-brown nails.
d. cherry angiomas.
C
Changes in the nails occur in approximately 30% of patients and consist of yellow-brown disco-loration with pitting, dimpling, separation of the nail plate from the underlying bed (oncolysis), thickening, and crumbling.
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Which intervention is appropriate for a child receiving high doses of steroids?
a. Limit activity and receive home schooling. b. Decrease the amount of potassium in the diet. c. Substitute a killed virus vaccine for live virus vaccines. d. Monitor for seizure activity.
Which action by the nurse demonstrates an understanding of best practice for nursing documentation?
A. "Whiting out" all errors on the client record B. Using red ink to denote all significant events C. Waiting until the end of the day to record information D. Using a highlighter to denote discontinuance of an order
Kelly is a 10-year-old type 1 diabetic brought to the school nurses office complaining of feeling "sweaty and shaky" which she recognizes as symptoms of hypoglycemia. The nurse should:
1. Provide 15 grams of glucose and recheck her finger stick in 15 minutes. 2. Provide a large candy bar and send her back to class. 3. Send someone to get a bottle of soda from the vending machine and tell her to drink it until she feels better. 4. Call the ambulance if her finger stick is less than 200.
A nurse is exhibiting the conscientious, explicit, and judicious use of the current best evidence in making decisions about the care of individual patients. The nurse's actions are an example of which of the following?
a. Evidence-based models c. Evidence-based practice b. Evidence-based practice guidelines d. Evidence-based nursing practice