During data collection the nurse notes the presence of a chancre on a male patient's penis. For which sexually transmitted infection should the nurse focus additional data collection?
a. Herpes
b. Syphilis
c. Gonorrhea
d. Chlamydia
ANS: B
The primary stage of syphilis begins with the entry of the Treponema pallidum spirochete through the skin or mucous membranes. Between 3 and 90 days later, a papule develops at the site of entry, then sloughs off, leaving a painless, red, ulcerated area called a chancre. A. Herpes is associated with vesicular skin lesions. C. D. Gonorrhea and Chlamydia are not associated with skin lesions.
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Nurses need to know how to operate a computer, compare data across time, and look for patterns in client responses to treatments. These are examples of:
a. JCAHO standards. b. Information systems. c. Informatics competencies. d. Requirements for nursing licensure.
A patient with motion sickness is planning a cross-country car trip and has a new prescription for a scopolamine transdermal patch The nurse provides teaching for the use of this patch medication. The patient shows a correct understanding of the teaching with which statement?
a. "I will change the patch every day." b. "I will change the patch every other day." c. "I will change the patch every 3 days." d. "I will remove the patch only if it stops working."
A Community Health Nurse is giving an educational presentation at the local senior citizens club. The nurse is speaking about stroke. What nonmodifiable risk factors for stroke should the nurse list?
A) Male gender B) Asian American race C) Over age 50 D) Smoking
A nurse is caring for a young man who is complaining about the state of the health-care system. He argues that health care should be left to the free market economy. To explain why relying on the free market is not practical, the nurse responds,
A. "There are too many health-care providers to support the health-care system in a free market economy." B. "A free market system is difficult to implement because during emergencies, patients and their families are unable to properly research local emergency care options." C. "The American health-care system is already based on a free market system." D. "A free market economy is based on the sale of goods, and does not apply to the health-care system.