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A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which assessment data is an expected finding?

A.

Report of generalized joint discomfort

B.

Systemic symptoms including elevated temperature

C.

Denial of pruritus

D.

Report of exposure to a skin irritant

Answer and Explanation

The Correct Answer is D

A. Generalized joint discomfort is not commonly associated with contact dermatitis; this condition typically affects the skin locally rather than causing systemic joint symptoms. 

B. Systemic symptoms such as elevated temperature are generally not expected with contact dermatitis, as it is usually a localized skin reaction. 

C. Pruritus (itching) is a common symptom of contact dermatitis, so denial of pruritus would not be expected. 

D. Contact dermatitis often occurs due to exposure to a skin irritant, making a report of such exposure a typical finding in the assessment. 

 


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Related Questions

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and elevated bicarbonate levels, which is not present in these results.

B. Respiratory alkalosis would present with an increased pH and decreased PaCO2, which does not apply here.

C. The low pH (7.12) indicates acidemia, and the elevated PaCO2 (90 mm Hg) suggests hypoventilation and respiratory acidosis due to CO2 retention. The bicarbonate level is within normal limits, further supporting respiratory acidosis.

D. Metabolic acidosis would be indicated by a low pH and low bicarbonate levels; however, the bicarbonate is normal in this case, ruling out metabolic acidosis.

Correct Answer is ["3.6"]

Explanation

Step 1: Calculate the total daily dose of digoxin:

  • 12 mcg/kg/day * 30 kg = 360 mcg/day

Step 2: Calculate the dose per administration:

Since the dose is to be divided equally every 12 hours, each dose will be half of the total daily dose:

  • 360 mcg/day / 2 = 180 mcg/dose

Step 3: Convert mcg to mg:

  • 180 mcg = 0.18 mg

Step 4: Calculate the volume to administer:

We know that 0.05 mg of digoxin is contained in 1 mL of the elixir. So, to find the volume for 0.18 mg, we can set up a proportion:

  • 0.05 mg / 1 mL = 0.18 mg / x mL

Cross-multiplying:

  • 0.05x = 0.18

Solving for x:

  • x = 0.18 / 0.05 = 3.6 mL

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