A nurse evaluates a client who presents to the provider's office to assess multiple nevi. Which finding should the nurse highlight to the provider as a possible sign of malignancy?

A sore that appears to be healed

A mole that has changed in shape and size

Purulent drainage is coming out of the moles

Intense pruritus is noted during assessment of the moles

Answer and Explanation

The Correct Answer is B

Choice A reason: A sore that appears to be healed is not a common indicator of malignancy. It is usually associated with infections or other skin conditions.

Choice B reason: Changes in a mole's shape and size are classic warning signs of melanoma, a type of skin cancer. Moles that become asymmetrical, have irregular borders, vary in color, grow in diameter, or evolve over time need to be evaluated by a healthcare provider.

Choice C reason: Purulent drainage from a mole could indicate an infection, but it is not a typical sign of malignancy.

Choice D reason: Intense pruritus (itching) can be associated with skin conditions, but it is not a definitive indicator of malignancy. While itching can occasionally be a symptom of skin cancer, it is not as specific as changes in mole appearance.

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Correct Answer is A

Explanation

Choice A reason: A headache is a common and expected side effect of nitroglycerin. Nitroglycerin causes vasodilation, which can lead to increased blood flow to the head and result in headaches. It is important to inform the client that this is a known side effect and to manage it with appropriate measures, such as taking analgesics.

Choice B reason: An allergic reaction to nitroglycerin would typically present with symptoms such as rash, itching, swelling, or difficulty breathing. A headache alone does not indicate an allergic reaction.

Choice C reason: A headache does not mean the medication should not be used again. It is a common side effect, and the benefits of nitroglycerin in relieving chest pain usually outweigh the discomfort of the headache. The nurse should educate the client on managing the headache while continuing the medication.

Choice D reason: A headache is not an indication of a worsening cardiac condition. It is a common side effect of the vasodilatory effects of nitroglycerin.

A. Explain treatments in non-technical language B. Give simple instructions C. Include the family in discussions related to care D. Use as many lengthy teaching methods as available to provide discharge instructions

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Using non-technical language helps ensure that the client can understand the information being communicated, especially when they have difficulty remembering details due to elevated BUN levels affecting cognitive function.

Choice B reason: Giving simple instructions makes it easier for the client to follow and retain the information, reducing the likelihood of confusion or errors in their care routine.

Choice C reason: Including the family in discussions related to care helps ensure that the client has support and that the family members understand the necessary steps for the client's treatment and recovery. This approach also helps reinforce the information for the client.

Choice D reason: Lengthy teaching methods may overwhelm the client, especially when they are experiencing difficulty remembering information. It is more effective to provide concise and clear instructions.

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A nurse evaluates a client who presents to the provider's office to assess multiple nevi. Which finding should the nurse highlight to the provider as a possible sign of malignancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports a headache. The nurse interprets that this most likely represents which response?

Correct Answer is A

Explanation

A client diagnosed with acute kidney injury has an elevated blood urea nitrogen (BUN) and is experiencing difficulty remembering information. Which interventions should the nurse implement when communicating with this client? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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