A client reported the mole on his scalp has started itching and it bleeds when he scratches it. What other findings would be a danger sign for pigmented skin lesions?
size less than 6 mm wide
symmetry of the lesion
color variation
rounded border
The Correct Answer is C
A. Size less than 6 mm wide:
Lesions >6 mm are more concerning. <6 mm is not a danger sign.
B. Symmetry of the lesion:
Symmetrical lesions are less concerning; asymmetry raises suspicion.
C. Color variation:
Multiple shades (brown, black, red, white) in one mole are an ABCDE warning sign of melanoma.
D. Rounded border:
Regular, rounded borders are typical of benign moles. Irregular borders are concerning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bell of the stethoscope:
The bell is best for hearing low-pitched sounds like certain murmurs.
B. Palpation with the nurse's palm of the hand:
Palpation can detect thrills or vibrations but cannot auscultate murmurs.
C. Electrocardiography:
ECG records electrical activity but does not assess heart sounds.
D. Diaphragm of the stethoscope:
Best for high-pitched sounds like breath or bowel sounds, not low-pitched murmurs.
Correct Answer is B
Explanation
A. The patient can respond to painful stimuli:
This relates to neurological response, not capillary refill.
B. The status of peripheral circulation:
Capillary refill time reflects peripheral perfusion and circulatory status.
C. The patient has cardiac or respiratory dysfunction:
While prolonged capillary refill could suggest such issues, a normal refill does not confirm them.
D. The patient is cold:
Cold temperature may prolong capillary refill, but color returning within a few seconds indicates adequate circulation.
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