While assessing the external genitalia of a female client, the nurse notes small, red vesicles that are formed together to create an itchy ulcer. The nurse identifies this finding as being:
a. chancre.
b. condyloma acuminatum.
c. condyloma lata.
d. herpes simplex.
ANS: D
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Wounds are frequently described according to how they are acquired. The nurse expects to see an open wound in the following types of wounds:(Select all that apply) Standard Text: Select all that apply
1. Incision 2. Contusion 3. Abrasion 4. Laceration 5. Puncture
A patient with personality disorder seemed intelligent to the nurse. He said all the right things to please the nurse but often failed to follow through. One evening he was brought back late from a pass, acutely intoxicated
The nurse seemed dismayed and remarked, "I thought he was making such good progress.". Which phenomena are likely illustrated in the nurse's response? Select all that apply. a. Successful manipulation by the patient b. Naiveté on the part of the nurse herself c. Guilt for having supported the patient's pass d. Failure by the nurse to remain objective e. An incompletely formed therapeutic relationship f. Honest disappointment that the patient regressed
The nurse is caring for a client who does not accept blood or blood products. Which nursing actions conserve blood? Select all that apply
A) Administer medication to stimulate bone marrow. B) Draw minimum volume of blood for diagnostic tests. C) Administer plasma to expand intravascular volume. D) Reinfuse the client's own blood via closed circuit container. E) Administer factor VIII to stimulate coagulation process. F) Administer blood product only in an emergency.
Which of the following clients is not at risk for not tolerating the stress of a fever?
1. client with cardiac difficulties 2. client with renal insufficiency 3. client with autoimmune disease 4. client with gastrointestinal disease