Emily, a 63-year-old woman with a history of smoking and hypertension, presents with hoarseness that has persisted for two months, weight loss, and dysphagia. She is taking Lisinopril for her hypertension. A biopsy confirms squamous cell carcinoma of the larynx. Which of the following steps are appropriate? Select all that apply

Schedule her for a radical neck dissection.

Initiate radiation therapy.

Discontinue Lisinopril and initiate a diuretic.

Administer a PET scan.

Provide dietary counseling for weight management.

Answer and Explanation

Correct Answer : B,D,E

A.   Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B.   Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C.   Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D.   A PET scan can help determine the extent of cancer spread and guide treatment planning.

E.   Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.

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Correct Answer is B

Explanation

A. Testicular torsion typically presents with sudden and severe scrotal pain, often with swelling, and requires immediate medical attention.
B. Infection can cause changes in the color and texture of the scrotal skin, indicating inflammation or other pathological processes.
C. Sexual immaturity and pubertal delay wouldn't typically manifest as changes in the color and texture of the scrotal skin.
D. Pubertal delay might have other signs and symptoms but is unlikely to cause visible changes in the scrotal skin.

A. Increasing sun exposure by 10 minutes each day will minimize risk. B. Water-resistant sunscreens are all you need while swimming. C. Use a sunscreen with SPF of at least 10 D. Avoid direct sun exposure between 10 AM and 2 PM.

Correct Answer is D

Explanation

A. Increasing sun exposure would actually increase the risk of sun damage and skin cancer rather than minimizing it.
B. While water-resistant sunscreens are important for protection during swimming, they are not the only measure needed to reduce sun damage, especially during extended sun exposure periods.
C. A sunscreen with SPF of at least 10 may not provide sufficient protection, especially for someone spending extended periods of time in direct sunlight. Higher SPF is generally recommended.
D. Avoiding direct sun exposure between 10 AM and 2 PM is crucial because during these hours, the sun's rays are the strongest, increasing the risk of sunburn and skin

damage. Opting for shade or protective clothing during these hours can significantly reduce the risk of sun damage.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

James, a 20-year-old college student, comes to the clinic for a physical exam. During the examination of his male genitalia, the healthcare provider noted that the color and texture of the scrotal skin appeared different from the expected norm. What could this potentially indicate?

Correct Answer is B

Explanation

Martha, a 55-year-old with a past medical history of hypertension, asks you about decreasing her risk for sun damage during her frequent beach trips. Which advice is most accurate?

Correct Answer is D

Explanation

Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

Timothy, 10, frequently falls and has a waddling gait. His creatine kinase is 4,000 U/L (normal is 22-198 U/L). Echocardiogram reveals early signs of cardiomyopathy. What is the most urgent nursing priority?

Nurse Annie is in charge of a vaccination campaign. She encounters a patient who was exposed to Hepatitis A and has never been vaccinated for it. What course of action will provide immediate, short-term protection for the patient?

Henry, a 65-year-old man, is in the clinic for a routine check-up. During the assessment of his male genitalia, which position can Henry choose for the examination?

John, a 35-year-old male involved in a motor vehicle accident, presents with a contusion across his chest from the seatbelt. Which two combined assessments should the nurse prioritize to detect potential complications?

Thomas, 42, with a past history of kidney stones, has been prescribed ciprofloxacin for a UTI. Lab values indicate normal renal function. What should be included in the teaching plan?

Mary, a 45-year-old woman, comes into the clinic complaining of a swollen and painful toe after stubbing it on a furniture leg. The nurse explains that the pain is most likely due to what mechanism in the inflammatory response?