During a focused interview of a client, the nurse learns about an open lesion on theclient's head that hasn't healed in several months. What might this indicate to the nurse?

1. The client may have a thyroid disease.
2. The client may have a malignancy.
3. The client may be pregnant.
4. The client may have meningitis.


2
Rationale 1: This finding doesn't necessarily indicate the client has a thyroid problem.
Rationale 2: Wounds or lesions that do not heal, swellings, or masses should be assessed because this finding may indicate the client has a malignancy.
Rationale 3: Pregnancy does not make the body less likely to heal.
Rationale 4: This particular client does not exhibit symptoms of meningitis such as complaints of a stiff neck and headache.

Nursing

You might also like to view...

During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following is an abnormality that the nurse should observe?

A) Absence of urethral discharge B) Skin lesions C) Enlargement of the prostate gland D) Encroachment by the prostate on the urethra

Nursing

An older school-age child asks the nurse, "What is the reason for this topical corticosteroid cream?" What rationale should the nurse give?

a. The cream is used for an antifungal effect. b. The cream is used for an analgesic effect. c. The cream is used for an antibacterial effect. d. The cream is used for an anti-inflammatory effect.

Nursing

A 50-year-old woman comes to the clinic with symptoms of menopause. The nurse takes a diet history and will encourage a high dietary intake of:

a. Sodium b. Potassium c. Calcium d. Vitamin C

Nursing

A 6-month-old has diaper rash

The baby's mother reports that the baby's diaper is changed in the morning and before putting the child in the crib for naps or bedtime. How frequently should the nurse teach the mother to check the baby's diaper for changing? A) Every half an hour B) Every one to one and a half hours C) Every two to four hours D) At least every five hours

Nursing