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 C

Explanation

A. Fresh vegetables Fresh vegetables are generally not associated with triggering migraines.
B. Frozen yogurt While some people may have individual triggers, frozen yogurt is not a common migraine trigger.
C. Red wine: Red wine contains tyramine, which is known to trigger migraines in many people.
D. Orange juice Orange juice is not commonly associated with triggering migraines.

A. Place the client in contact Isolation. B. Prepare the client for a colonoscopy. C. Administer docusate sodium 500 mg daily. D. Use a bleach solution to clean the client's bedside table. E. Use hand sanitizer immediately after caring for the client.

Correct Answer is ["A","D"]

Explanation

A. Place the client in contact isolation. Contact isolation helps prevent the spread of C. difficile to other patients and staff by requiring the use of gowns and gloves when entering the patient's room.
B. Prepare the client for a colonoscopy. This is not typically part of the standard care plan for C. difficile infection. Colonoscopies are not indicated for diagnosing or managing C. difficile.
C. Administer docusate sodium 500 mg daily. Docusate sodium is a stool softener and is not appropriate for treating C. difficile, which causes diarrhea.
D. Use a bleach solution to clean the client's bedside table. Bleach is effective at killing C. difficile spores, which are resistant to many other cleaning agents.
E. Use hand sanitizer immediately after caring for the client. Hand sanitizers are not effective against C. difficile spores. Handwashing with soap and water is necessary.

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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

A nurse is providing nutritional teaching to a client who has chronic migraine headaches. The nurse should inform the client that which of the following dietary items can trigger a migraine?

Correct Answer is C

Explanation

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Correct Answer is ["A","D"]

Explanation

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