A nurse notices multiple lesions on a patient's left hand that are 0.5 cm in width, elevated, circumscribed, and filled with serous fluid. What kind of primary lesions are these?
a. Macules
b. Patches
c. Vesicles
d. Bullae
ANS: C
You might also like to view...
The student nurse is to perform Leopold's maneuver on a laboring client. Which assessment requires intervention by the staff nurse?
1. Client is assisted into supine position, and the position of the fetus is assessed. 2. The upper portion of the uterus is palpated, then the middle section. 3. After determining where the back is located, the cervix is assessed. 4. Following voiding, the client's abdomen is palpated from top to bottom.
An elderly, Asian patient is admitted for suicide precautions. After performing an assessment, the nurse identifies a history of multiple, unsuccessful suicide attempts in the past three years. Which factor(s) may have contributed to the delay in treatment? Select all that apply.
1. Ageism 2. Poverty 3. Cultural bias 4. Discrimination 5. Birth order
In the preparation of a nursing care plan relative to the client's mental status, the least helpful data would be those resulting from
a. client's overall response to the interview. b. formal psychological tests. c. notation of appropriateness of affect. d. observation of nonverbal behavior.
The nurse is teaching a class on breastfeeding to expectant parents. Which is a contraindication for breastfeeding?
a. Mastitis b. Twin births c. Inverted nipples d. Maternal cancer therapy