A nurse is reinforcing teaching with a client who has a superficial lesion. A biopsy indicates malignant melanoma. Which of the following treatment choices should the nurse include in the teaching?
Cryosurgery
Radiation therapy
Chemotherapy
Surgical excision
The Correct Answer is D
A. Cryosurgery involves freezing the lesion and is typically used for benign lesions.
Malignant melanoma often requires more extensive treatment.
B. Radiation therapy may be used in certain cases, but surgical excision is often the primary treatment for malignant melanoma.
C. Chemotherapy is not the primary treatment for localized malignant melanoma but may be used for advanced cases or metastatic disease.
D. Surgical excision is the primary treatment for localized malignant melanoma, aiming to remove the tumor along with a margin of normal tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Surgical site infections are not specifically included in the HACRP but are significant in HAI prevention.
B. Catheter-associated urinary tract infections (CAUTIs) are not explicitly included in the HACRP but are important in HAI prevention.
C. Peripheral IV-related infections are not specifically included in the HACRP.
D. Central line-associated bloodstream infections (CLABSIs) are specifically targeted by the HACRP.
E. Infections related to chest tubes are not specifically included in the HACRP.
Correct Answer is A
Explanation
A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.
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