A nurse is assessing a client at a dermatology clinic. Which of following findings places the client at risk for developing malignant melanoma?

Age 19 to 30 years

Dark hair

History of chronic skin irritation

Female gender

Answer and Explanation

The Correct Answer is C

A. Age 19 to 30 years: While malignant melanoma can occur at any age, it is more commonly diagnosed in individuals aged 30 to 40 years or older. Being in the 19-30 age group does not significantly increase the risk of developing melanoma.

B. Dark hair: Dark hair is not a major risk factor for malignant melanoma. In fact, individuals with lighter skin and hair are generally at a higher risk. Hair color alone does not place a person at high risk for melanoma.

C. History of chronic skin irritation: Chronic skin irritation or conditions that cause repeated trauma to the skin can increase the risk of melanoma. This includes a history of sunburns or other forms of skin damage, which can predispose the skin to malignant changes over time.

D. Female gender: While gender can play a role in the risk of melanoma, it is not as significant as other factors like fair skin, history of sun exposure, or family history of melanoma. Both males and females can be affected by melanoma.

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Correct Answer is A

Explanation

A. Limit the number of health care workers entering the room: Reducing the number of healthcare workers entering the room minimizes the risk of exposing the client to potential infections. This is especially important during chemotherapy when the client's immune system is suppressed.

B. Provide the client with fresh fruit to avoid constipation: Fresh fruit can carry the risk of bacterial contamination, especially for immunosuppressed clients. Instead, the nurse should focus on safe, low-risk foods and consider alternatives to prevent constipation, such as fiber supplements or medications.

C. Insert an indwelling catheter to monitor sediment in the urine: Indwelling catheters increase the risk of urinary tract infections, especially in immunosuppressed clients. Catheters should only be used when absolutely necessary to reduce the risk of infection.

D. Take the client's temperature once per shift: Taking the client's temperature once per shift is insufficient for detecting fever, which is a critical sign of infection in immunosuppressed clients. The client should have their temperature checked more frequently to catch any signs of infection early.

A. The client with painful lymph nodes under the arm. B. The client with enlarged lymph nodes in the neck. C. The client with a painful sore throat. D. The client with painful lymph nodes in the groin.

Correct Answer is B

Explanation

A. The client with painful lymph nodes under the arm: Painful lymph nodes are more likely associated with infections or other benign causes rather than Hodgkin lymphoma. In Hodgkin lymphoma, lymph nodes are typically painless.

B. The client with enlarged lymph nodes in the neck: This is the most likely presentation of Hodgkin lymphoma. It often presents with painless, swollen lymph nodes, particularly in the neck, and can be associated with other systemic symptoms such as fever, night sweats, and weight loss.

C. The client with a painful sore throat: A sore throat is more commonly associated with infections like viral or bacterial throat infections (e.g., streptococcal pharyngitis) and is not a typical symptom of Hodgkin lymphoma.

D. The client with painful lymph nodes in the groin: While Hodgkin lymphoma can cause lymph node enlargement, pain in lymph nodes is commonly related infections. Hodgkins presents with painless lymphadenopathy, particularly in the neck, chest, or armpits.

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A nurse is assessing a client at a dermatology clinic. Which of following findings places the client at risk for developing malignant melanoma?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma?

Correct Answer is B

Explanation

A nurse is assessing a client at a dermatology clinic. Which of following findings places the client at risk for developing malignant melanoma?

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