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 D

Explanation

A. "Take meperidine 30 minutes before aerobic activity." Meperidine (Demerol) is not recommended for long-term use in older adults due to its side effects and potential for dependence. It is not an appropriate medication for managing rheumatoid arthritis or exercise-related pain.
B. "Take a 2-hour nap in the afternoon." While short naps can be beneficial, a 2-hour nap might interfere with nighttime sleep, exacerbating fatigue. Naps should be limited to 20-30 minutes.
C. "Avoid exercising on days when you feel tired." Regular, gentle exercise is beneficial for managing rheumatoid arthritis and fatigue. It helps maintain joint function and reduce stiffness. Avoiding exercise altogether can lead to increased stiffness and fatigue.
D. "Plan your daily schedule in advance." Planning activities in advance can help manage energy levels and avoid overexertion, which is crucial for managing fatigue in rheumatoid arthritis.

A. Ativan 1 mg IV given at 1030 following OR call B. Acetaminophen 500 mg given for pain C. MgSO4 infusing via IV pump D. Insulin 5U administered SQ

Correct Answer is A

Explanation

A. Ativan 1 mg IV given at 1030 following OR call. This is correct. The entry is clear and includes the medication name, dose, route, and time of administration.
B. Acetaminophen 500 mg given for pain. The entry does not specify the route of administration or the time it was given.
C. MgSO4 infusing via IV pump: This is incorrect. Abbreviations like "MgSO4" can be confusing or misinterpreted. It should be written as "magnesium sulfate."
D. Insulin 5U administered SQ: This is incorrect. The entry uses the abbreviation "U" for units, which can be misinterpreted. It should be written as "units" and specify the exact time and site of administration.

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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 teaching an older adult client who has rheumatoid arthritis and reports fatigue. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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