A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest
Possible skin cancer
That there is nothing to be concerned about.
Normal Wound heating.
A secondary lesion
The Correct Answer is A
A. Changes in size, color, and shape of a mole or spot, especially with the development of a bump, could be indicative of skin cancer, particularly melanoma.
B. That there is nothing to be concerned about. Given the changes in the spot's appearance, this is a concerning sign and requires further investigation, so this choice is not correct.
C. Wounds typically heal without such significant color and shape changes, so this is unlikely to be a normal healing process.
D. A secondary lesion is caused by trauma or infection, but the described changes are more concerning for a potential primary skin malignancy, such as melanoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The brainstem controls basic life functions but is not primarily responsible for balance.
B. The cerebellum is directly involved in maintaining balance and coordination. Issues with the cerebellum would likely cause unsteadiness and difficulty in maintaining balance.
C. The extrapyramidal system influences motor control but is less directly responsible for balance compared to the cerebellum.
D. The thalamus acts as a relay center for sensory and motor signals but does not specifically control balance.
Correct Answer is D
Explanation
A. The trochlear nerve controls the superior oblique muscle of the eye and is not related to facial movements.
B. The abducens nerve controls the lateral rectus muscle of the eye, responsible for eye movement, not facial muscles.
C. The vagus nerve affects the soft palate, pharynx, and larynx, but does not contribute to facial expression.
D. Asymmetry in facial movements, like smiling, frowning, and puffing the cheeks, suggests dysfunction of the facial nerve (CN VII).
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