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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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Patches of baldness:
More common in conditions like alopecia areata, not pediculosis capitis.

B. Dry patches on the scalp:
Associated with seborrheic dermatitis or eczema, not lice.

C. Reports of scalp itchiness:
Itching is the hallmark symptom of pediculosis capitis (head lice) due to the lice bites and resulting allergic reaction.

D. Blisters on the scalp:
Blisters are more typical of impetigo or infections, not lice infestation.

A. Airway obstruction B. Contractures C. Infection D. Fluid imbalance

Correct Answer is A

Explanation

A. Airway obstruction
Burns involving the head, neck, or chest put the client at risk for inhalation injury or airway edema, which can rapidly become life-threatening.

B. Contractures
This is a long-term complication, not an immediate concern.

C. Infection
While a serious risk, it is not as immediate as airway obstruction in the acute phase.

D. Fluid imbalance
Important, especially within the first 24 hours, but airway compromise takes precedence when head/neck/chest burns are involved.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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