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 C

Explanation

A. Dysphagia: While difficulty swallowing (dysphagia) can occur as a result of laryngeal cancer, it is not typically one of the earliest manifestations. It usually occurs when the tumor progresses and obstructs the swallowing mechanism.

B. Weight loss: Weight loss can be a later sign of cancer or a result of difficulty eating, but it is not typically the earliest manifestation of laryngeal cancer.

C. Hoarseness: Hoarseness or a persistent change in voice is the earliest and most common symptom of laryngeal cancer, especially in individuals with a history of smoking. It occurs because the cancer affects the vocal cords, leading to voice changes.

D. Dyspnea: Difficulty breathing (dyspnea) can occur later in the disease if the tumor obstructs the airway, but it is not typically an early sign of laryngeal cancer.

Correct Answer is ["50"]

Explanation

Total volume to be infused = 50 mL.

Infusion time in minutes = 15 minutes.

Drop factor of the tubing = 15 gtts/mL.

Calculate the flow rate in drops per minute (gtts/min).

Flow rate (gtts/min) = (Total volume (mL) × Drop factor (gtts/mL)) / Infusion time (min)

= (50 mL × 15 gtts/mL) / 15 min

= 750 / 15 gtts/min

= 50 gtts/min.

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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 assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

Correct Answer is C

Explanation

A patient with severe nausea and vomiting has a one time order for Zofran 8 mg IVPB over 15 minutes. The Zofran is diluted in 50mL of D5W. The tubing drop factor is 15 gtts/mL. How many drops per minute should be given? Whole number.

Correct Answer is ["50"]

Explanation

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