A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?
Painless, raised purple nodules on the hard palate.
A small macule with a yellow-brown scale.
A firm nodule with a hard crust.
Yellow white patches of growth on the tongue.
The Correct Answer is C
Choice A reason: This choice is incorrect as painless, raised purple nodules on the hard palate are not typically indicative of squamous cell carcinoma.
Choice B reason: This choice is incorrect because a small macule with a yellow-brown scale does not describe squamous cell carcinoma, which often presents as a firm nodule with a scaly crust.
Choice C reason: This choice is correct. Squamous cell carcinoma can present as a firm nodule with a hard, scaly crust on the skin.
Choice D reason: Yellow white patches of growth on the tongue are more indicative of conditions such as oral leukoplakia, not squamous cell carcinoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hypernatremia is not typically associated with prerenal AKI. Prerenal AKI is characterized by conditions that reduce blood flow to the kidneys, not directly causing high sodium levels.
Choice B reason: This choice is correct. Hyperkalemia, which is a high level of potassium in the blood, is a common electrolyte imbalance seen in prerenal AKI due to decreased kidney function and the inability to excrete potassium.
Choice C reason: Hypophosphatemia, or low levels of phosphate in the blood, is not a typical finding in prerenal AKI.
Choice D reason: Hypercalcemia, or high levels of calcium in the blood, is not commonly associated with prerenal AKI. It is more often related to other conditions such as hyperparathyroidism or malignancy.
Correct Answer is D
Explanation
Choice A reason: Stridor is a high-pitched sound heard with breathing and is not related to the pattern described.
Choice B reason: Kussmaul respirations are deep and labored, typically associated with metabolic acidosis, not the pattern described.
Choice C reason: Apneustic respirations are characterized by prolonged inspiratory phases, which is not the pattern described.
Choice D reason: This is the correct choice. Cheyne Stokes respirations are characterized by a cyclic pattern of increasing and decreasing tidal volumes followed by periods of apnea, fitting the description provided.
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