A nurse in a community health clinic is conducting a health screening for a male client. For which of the following findings should the nurse recommend the client follow up with his provider?
A decrease in skinfold thickness
A triglyceride level of 150 mg/dL
A random blood glucose reading of 160 mg/dL
A mole that, is dark in color and tender
The Correct Answer is D
A. A decrease in skinfold thickness: A decrease in skinfold thickness could be due to loss of subcutaneous fat, which might not be immediately concerning without other symptoms.
B. A triglyceride level of 150 mg/dL: A triglyceride level of 150 mg/dL is generally considered within normal limits.
C. A random blood glucose reading of 160 mg/dL: A random blood glucose reading of 160 mg/dL is elevated and could indicate impaired glucose tolerance, warranting further investigation.
D. A mole that is dark in color and tender: A dark, tender mole could be a sign of a potentially malignant melanoma and should be evaluated by a provider for further investigation and potential biopsy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Instruct the client to take a sitz bath three times a week. While sitz baths may provide symptom relief, they are not a primary intervention for treating a UTI.
B. Request a prescription for gabapentin. Gabapentin is used for neuropathic pain, not for treating UTIs.
C. Encourage the client to drink 2 oz of grapefruit juice each day. Grapefruit juice is not recommended for UTIs; cranberry juice is often suggested instead.
D. Increase the client's fluid intake to 3 L each day. Increasing fluid intake helps flush bacteria from the urinary tract and is a key intervention in managing UTIs.
Correct Answer is D
Explanation
A. "I should keep my hands lower than my elbows while washing." This is a common misconception. In reality, you should keep your hands above your elbows during handwashing to prevent recontamination.
B. "I should dry my hands by wiping them vigorously with a towel." Vigorous wiping can cause skin irritation and is not recommended. Hands should be patted dry gently with a clean towel or allowed to air dry.
C. "I should make sure to use hot water when I wash my hands." Hot water can cause skin irritation and dryness. Warm water is recommended for handwashing.
D. "I should rub soap into my hands for at least 10 seconds." This is the recommended time for effective handwashing to ensure the removal of transient bacteria.
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