NR 283 Week 6 Exam 2 (Kahoot answer Key)

The nurse finds a small, firm, elevated lesion on the new client. How should the nurse document this finding? Macule Nodule Pustule Papule R: D. Papule: Small, firm, elevated lesion. Macule: Small, flat, circumscribed lesion of a different color than the normal skin. Nodule: firm, raised, and deep. Palpable, elevated lesion; varies in size. Pg: 144 Malignant melanomas can be best described by? Regular borders and do not grow. Often do not metastasize fast. Only occurring in the elderly population. Irregular borders & multicolored. R: D. Malignant melanomas often appear as multicolored lesions with an irregular border. Melanomas grow quickly, extending down into the tissues, then metastasize quickly to the regional lymph nodes and then to other organs, leading to a poor prognosis in many cases Pg: 157 What is the most important to educate on reducing the risk of developing skin cancer? Apply sunscreen during direct exposure to sunlight. Tanning beds are a safe way to obtain a suntan. Avoid sunlight exposure from 0800-1100. While sitting in water, sun exposure is not a concern. R: A. Applying sunscreen while having direct exposure to any form of UV light is essential to decrease the risk of skin cancer. Clients can also wear light clothing, and hats. Clients should avoid tanning beds all together, as well sun exposure from midday to midafternoon. Water enhances UV light exposure to the skins, so it is vital to place sunscreen every 30- 60mins while in the water. An infant has small, red vesicles that have ruptured with yellow-brown crusts on the mouth. The nurse suspects this is? Psoriasis Impetigo Cellulitis Scleroderma R: B. Impetigo: Small red vesicles are present, which rapidly enlarge. Vesicles will rupture to form yellowish-brown crusty masses. Psoriasis: red patches of skin covered with silvery scales. Cellulitis: redden area, edematous, painful, red streaks running long lymph vessels. Scleroderma: Collagen deposits in the arterioles and capillaries which reduce blood flow. Hard, shiny, tight, immovable areas of skin are present,Pg: 151 Herpes Simplex type 1 (HSV-1) can be described as? Latent viral infection found in or around the mouth. Lesions following a nerve path down both extremities. Acute viral infection transmitted by sexual intercourse. Vesicles found around the glans penis. R: A. HSV-1 are cold sores. Most common found near the lips. HSV-2 are common with STDs’. Shingles is found typically to be unilateral and is caused by varicella zoster from the herpes zoster virus. pg:154 Hypoxemia is responsible for signaling what to increase respiratory function? Beta receptors Dopamine receptors Chemoreceptors Baroreceptors R: C. Chemoreceptors stimulate respiratory control when carbon dioxide or hydrogen ions increase. Beta receptors affect cardiac function. Dopamine receptors are found in neurofunction for pleasure and used for cardiac support increasing bp. Baroreceptors found in the carotids to sense pressure changes by tension of arterial wall. Pg: 31 Which of the following are symptoms associated with Tuberculosis? Steatorrhea, increased respirations, and hoarseness Weight loss, fatigue, night sweats Weight gain, nausea & vomiting Increased appetite, pink frothy sputum R: B. weight