Test bank Medical surgical Nursing, 10th Edition : Assessment And Management Of Clinical Problems

4. When examining an older patient in the home, the home health nurse notices irregular patterns of bruising at different stages of healing on the patient’s body. Which action should the nurse take first? a. Ensure the patient wears shoes with nonslip soles. b. Discourage using throw rugs throughout the house. c. Talk with the patient alone and ask about the bruising. d. Notify the health care provider so that radiographs can be ordered. HTTPS://BIT.LY/3OTCF7O The nurse should note i...

1. A 35-yr-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain? a. History of sun exposure by the patient b. Method of contraception used by the patient c. Length of time the patient has used fluorouracil d. Appearance of the treated areas on the patient’s face ANS: B Because fluorouracil is teratogenic, it is essential that the patient use a reli...

45. When teaching a patient about the treatment of acoustic neuroma, the nurse will include information about a. applying sunscreen. c. decreasing dietary sodium. b. preventing fall injuries. d. chemotherapy side effects. HTTPS://BIT.LY/3OTCF7O Intermittent vertigo occurs with acoustic neuroma, so the nurse should include information about how to prevent falls...

1. The nurse is developing a health promotion plan for an older adult who worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select all that apply)? a. Vitiligo b. Alopecia c. Intertrigo d. Erythema e. Actinic keratosis HTTPS://BIT.LY/3O TCF7O, E A patient who has worked as a landscaper is at risk for skin lesions caused by sun exposure such as erythema and actinic keratosis...

9. During assessment of the patient’s skin, the nurse observes a similar pattern of discrete, small, raised lesions on the left and right upper back areas. Which term should the nurse use to document the distribution of these lesions? a. Confluent c. Zosteriform b. Symmetric d. Generalized HTTPS://BIT.LY/3OTCF7O The description of the lesions indicates that they are grouped in a bilateral distribution...

41. A 75-yr-old patient who lives alone at home tells the nurse, “I am afraid of losing my independence because my eyes don’t work as well they used to.” Which action should the nurse take first? a. Discuss the increased risk for falls that is associated with impaired vision. b. Ask the patient about what type of vision problems are being experienced. c. Explain that there are many ways to compensate for decreases in visual acuity. d. Suggest ways of improving the patient’s safet...

36. Which nursing activity is appropriate for the registered nurse (RN) working in the eye clinic to delegate to experienced unlicensed assistive personnel (UAP)? a. Instilling antiviral drops for a patient with a corneal ulcer b. Application of a warm compress to a patient’s hordeolum c. Instruction about hand washing for a patient with herpes keratitis d. Looking for eye irritation in a patient with possible conjunctivitis HTTPS://BIT.LY/3OTCF7O Application of cold and warm packs is ...