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Exam (elaborations)

275 FINAL

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275 FINAL parents bring a child to the clinic and report a "rash" on her knee. On assessment, the nurse practitioner notes the area to be a reddish-pink lesion covered with silvery scales. What would the nurse practitioner chart? - CORRECT ANSWER -Psoriasis common, contagious superficial skin infection -lesion, typically on the face, that itches and burns initial lesion is a small erythematous macule that canges into vesicle or bulla with thin roof -lesion crusts with a characteristic honey color from the exudates as the vesicles or bullae rupture -may have regional lymphadenopathy - CORRECT ANSWER -impetigo An obese 34 year old man is undergoing a preoperative examination prior to having bariatric surgery. The patient tells the nurse that he has a red sore in his groin area that appears to be spreading. The nurse assesses the lesion and finds a macular erythematous lesion with satellite pustules. What would the nurse suspect? - CORRECT ANSWER -candida While inspecting the skin of an older adult client, the nurse notes multiple small, flat, reddish-purple macules. The nurse documents this finding as which of the following? - CORRECT ANSWER -Petechiae woods lamp - CORRECT ANSWER -used for fungal diagnosis While auscultating the heart at the third intercostal space, left sternal border, the nurse notes a high pitched, scratchy sound that increases with exhalation with the client leaning forward. The nurse would document which of the following? - CORRECT ANSWER -Pericardial friction rub During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade? - CORRECT ANSWER -2 A nurse is performing a patient assessment in an urgent care clinic. The most likely tool being used is the - CORRECT ANSWER -focused A nurse observes a client sitting in the tripod position. What is an appropriate action by the nurse in response to this observation? - CORRECT ANSWER -Observe for the use of accessory muscl

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