A nurse is collecting data from a client who has an arm lesion. Which of the following characteristics is a clinical manifestation of a malignant melanoma?
Firm nodule with crust
Pearly papule with and ulcerated center.
Rough, dry and scaly
irregularly shaped, irregular borders, brown, tan and black coloring
The Correct Answer is D
A. Firm nodule with crust:
Suggests squamous cell carcinoma, not melanoma.
B. Pearly papule with an ulcerated center:
Classic for basal cell carcinoma, not melanoma.
C. Rough, dry and scaly:
Suggestive of actinic keratosis, a precursor to squamous cell carcinoma.
D. Irregularly shaped, irregular borders, brown, tan and black coloring:
This is typical of malignant melanoma, which often appears as an asymmetrical lesion with variegated color and irregular borders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assist the client with physical therapy exercises:
May be useful postoperatively or in metastatic cases, but not a priority intervention specific to melanoma.
B. Administer pain medication as ordered:
Important if there's pain, but melanomas are often painless. This is supportive, not specific.
C. Monitor for signs of infection:
More relevant post-surgery or chemotherapy, not specific to melanoma management.
D. Educate the client about the importance of sun protection and skin checks:
Prevention and early detection are essential for reducing recurrence and catching new melanomas early.
Correct Answer is C
Explanation
A. Lip edema:
Concerning, but not as urgent as difficulty swallowing, which could signal airway involvement.
B. Urinary output 25 mL/hr:
Slightly low, needs monitoring, but not the immediate priority.
C. Difficulty swallowing:
Suggests edema involving the airway, possibly progressing to obstruction - this is the priority.
D. Heart rate 122/min:
May reflect pain or fluid loss, but not as urgent as a threatened airway.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.