A nurse is performing a focused skin assessment for a client as part of a comprehensive health screening. The nurse notes a mass which is hard, deep, and elevated 2 cm (0.8 in) in diameter on the client's back. Which of the following terms should the nurse use to document this finding?

Macule

Vesicle

Papule

Nodule

Answer and Explanation

The Correct Answer is D

A. Macule: A macule is a flat, discolored spot on the skin, less than 1 cm in diameter. The described mass is elevated, so this term is incorrect.
B. Vesicle: A vesicle is a small, fluid-filled blister. The described mass is not fluid-filled, so this term is incorrect.
C. Papule: A papule is a small, solid, elevated lesion, usually less than 1 cm in diameter. The described mass is larger than a papule.
D. Nodule: A nodule is a solid, elevated lesion that is larger than a papule (usually more than 1 cm in diameter). The described mass fits this description.

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Correct Answer is A

Explanation

A. Log off the computer before he leaves the nurses' station: This is correct. Logging off ensures that no unauthorized person can access the client's electronic health records, maintaining privacy and security.
B. Turn off the monitor so others cannot view the client's data. This action alone does not provide sufficient security, as the computer might still be logged in.
C. Position the computer's screen so no one else can view it. While this helps with privacy, it does not secure the computer from unauthorized access in the nurse’s absence.
D. Ask another nurse to complete the documentation. This is not appropriate as it may lead to incomplete or inaccurate documentation. Each nurse should document their own care.

A. The parent of a school age child who has cystic fibrosis B. The website for the Cystic Fibrosis Foundation C. A commercial website that ends in ".com" D. An assistive personnel who cares for a child who has cystic fibrosis

Correct Answer is B

Explanation

A. The parent of a school age child who has cystic fibrosis While personal experiences can be helpful, they may not provide comprehensive, evidence-based information.
B. The website for the Cystic Fibrosis Foundation This is a reliable source for accurate, evidence-based information about cystic fibrosis.
C. A commercial website that ends in ".com" Commercial websites can have biased or non-evidence-based information.
D. An assistive personnel who cares for a child who has cystic fibrosis While they may have practical insights, they are not typically the best source for detailed, evidence-based information.

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A nurse is performing a focused skin assessment for a client as part of a comprehensive health screening. The nurse notes a mass which is hard, deep, and elevated 2 cm (0.8 in) in diameter on the client's back. Which of the following terms should the nurse use to document this finding?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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