A client is brought to the emergency department with burns over 40% of the body from apartment fire. Which assessment should take priority?

Percent of body surface burned

Respiratory status

Review of chronic illnesses

Burn depth

Answer and Explanation

The Correct Answer is B

A. Percent of body surface burned:
Important for guiding fluid resuscitation, but airway and breathing always take priority in the ABCs.

B. Respiratory status:
Inhalation injury is a life-threatening complication in fire-related burns. Assess for stridor, soot in nares/mouth, and signs of respiratory distress first.

C. Review of chronic illnesses:
Relevant for overall care planning, but not an initial priority in the emergency phase.

D. Burn depth:
Guides long-term care but is secondary to airway and breathing in the acute setting.

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Correct Answer is D

Explanation

A. Firm nodule with crust:
Suggests squamous cell carcinoma, not melanoma.

B. Pearly papule with an ulcerated center:
Classic for basal cell carcinoma, not melanoma.

C. Rough, dry and scaly:
Suggestive of actinic keratosis, a precursor to squamous cell carcinoma.

D. Irregularly shaped, irregular borders, brown, tan and black coloring:
This is typical of malignant melanoma, which often appears as an asymmetrical lesion with variegated color and irregular borders.

A. Assist the client with physical therapy exercises B. Administer pain medication as ordered C. Monitor for signs of infection D. Educate the client about the importance of sun protection and skin checks

Correct Answer is D

Explanation

A. Assist the client with physical therapy exercises:
May be useful postoperatively or in metastatic cases, but not a priority intervention specific to melanoma.

B. Administer pain medication as ordered:
Important if there's pain, but melanomas are often painless. This is supportive, not specific.

C. Monitor for signs of infection:
More relevant post-surgery or chemotherapy, not specific to melanoma management.

D. Educate the client about the importance of sun protection and skin checks:
Prevention and early detection are essential for reducing recurrence and catching new melanomas early.

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A client is brought to the emergency department with burns over 40% of the body from apartment fire. Which assessment should take priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has an arm lesion. Which of the following characteristics is a clinical manifestation of a malignant melanoma?

Correct Answer is D

Explanation

Which of the following nursing interventions is appropriate for a client with malignant melanoma?

Correct Answer is D

Explanation

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