A client tells the nurse that flakes of skin come loose with every shampoo. The nurse realizes this client is experiencing which of the following type of secondary skin lesion?
1. Macule
2. Nodule
3. Crust
4. Scale
4. Scale
Rationale:
Scales are flakes of greasy, keratinized skin tissue that vary in color from white, gray, or silver. An example of this type of skin lesion is dandruff. Macules and nodules are primary skin lesions. A crust is an area of dry blood, serum, or pus left on the skin surface when vesicles or pustules break.
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Which of the following statements is the best rationale for allowing a family member to be present during cardiopulmonary resuscitation of another family member?
1. The inclusion of the family will improve the public image of nurses. 2. Inclusion of family members reduces the need for the nurse to constantly update them on patient progress. 3. The inclusion of family members reduces both patient and family distress. 4. The inclusion of family will improve the overall efficiency of the healthcare team.
Which action is most appropriate during a preoperative chart review?
a. Ensure that the consent form is signed, dated, and witnessed. b. Call the surgeon if the client has any food allergies. c. Make sure all marks are washed off the surgical site. d. Make sure the client understands the pro-cedure.
The nurse is visiting the day care center for routine assessment of the children. After spending time with the children in one of the playrooms, the nurse suspects that a child has a visual deficit as a result of observing:
1. Poor balance and gait 2. An increase in weight 3. Sitting and rocking back and forth 4. A failure to respond when touched
MC A nurse's client sees a physician for his health needs as well as a practitioner of Chinese medicine. The client states that both therapies are beneficial
for maintaining the client's level of health. The nurse supports the client's choice after being reassured that the Chinese practitioner has met standards for: (Select all that apply.) A. Causing no additional stress on the client. B. USDA standards in the herbal preparations used. C. Nationwide certification in Chinese medicine. D. Safety, efficacy, and quality in the Chinese medicine practice. E. No adverse interactions between herbal preparations used and any prescription medications the client might be on.