1.
Turgor.
2.
Dry mucus membranes.
3.
Conjunctivae.
4.
Ask about any feelings of anxiety.
5.
Note any pustules or nodules.
6.
“How often do you use a tanning booth?”
7.
“Have any of your moles changed in size or appearance?”
8.
The border of the mole is smooth.
9.
Offer assurance that this lesion is not an abnormal finding.
10.
Continue the assessment, noting the color of the nail surface.
11.
Brittle nail surface.
12.
Observe the texture and distribution of hair growth on the scalp.
13.
Observe the client’s hair shafts and scalp.
14.
Move on to the next area of assessment since the findings are within normal limits.
15.
Repeated injury over a period of time.
16.
Document the location of the bruises and petechiae.
17.
Ask the client if someone else caused the injuries.
18.
Provide a calendar for the client to mark the date when any violent and abusive behavior by her boyfriend occurred.
19.
Urticaria.
20.
Offer assurance that this is a temporary response.
21.
0.5 or 1/2
22.
-Benadryl blocks the effect of the histamine response to reduce itching.
-This medication may cause drowsiness.
-Blurred vision or loss of balance are potentially serious side effects of this medication.
23.
Prepare a detailed injury map.
24.
Quote the client’s responses to the question as verbatim as possible.
x

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