A nurse is providing teaching to a client who has melanoma. Which of the following information should the nurse include?
Radiation therapy is the primary method of treatment for melanoma.
Metastasis occurs in the deeper levels of skin tissue before it extends outward.
There are no specific genetic mutations that cause melanoma.
Melanoma is highly metastatic and requires early diagnosis and treatment.
The Correct Answer is D
Choice A rationale:
Radiation therapy is not typically the primary method of treatment for melanoma. Surgical excision and other therapies are often utilized.
Choice B rationale:
Metastasis in melanoma generally occurs from the outer layers of the skin to deeper levels and eventually to other parts of the body.
Choice C rationale:
Specific genetic mutations, such as mutations in the BRAF gene, are associated with an increased risk of developing melanoma.
Choice D rationale: Melanoma is a highly metastatic form of skin cancer that can spread quickly to other parts of the body. Early diagnosis and treatment are crucial to improve outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Placing objects within the client's reach on the right side helps to compensate for the hemiparesis and facilitates the client's ability to independently access items.
Choice B rationale:
Encouraging the client to repeat phonetic sounds might be more appropriate for speech therapy and may not directly address hemiparesis.
Choice C rationale:
Pausing to allow the client time to respond to questions is a communication technique but does not address the physical effects of hemiparesis.
Choice D rationale:
Frequently orienting the client to time, place, and surroundings is important for cognitive support but does not specifically address hemiparesis.
Correct Answer is D
Explanation
Choice A rationale:
Other family members or close contacts may consider immunization, but it is not directly related to the client's ALS diagnosis.
Choice B rationale:
Since the client has a new diagnosis of ALS, the immediate focus should not be on selling their home, but rather on understanding and managing the disease.
Choice C rationale:
Requiring hospice care immediately is not a standard recommendation for a client with ALS. The client's disease progression and needs will be assessed to determine the appropriate level of care.
Choice D rationale:
Creating a living will is important for clients with a terminal illness like ALS, as it allows them to express their wishes for medical treatment and care preferences in advance.
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