Lisa, 49, has actinic keratosis on her left cheek and opts for treatment with topical 5-FU. She is generally healthy with no other significant past medical history. What should the nurse instruct her?
Avoid crowded places due to infection risk.
S-FU will prepare the lesion for surgical removal.
Nutritional intake should be monitored due to risk of anorexia.
The treated areas will be eroded and take weeks to heal.
The Correct Answer is D
A. Actinic keratosis treatment with topical 5-FU does not increase the risk of infection to the extent that avoiding crowded places would be necessary.
B. While 5-FU may be used to treat actinic keratosis, it does not necessarily prepare the lesion for surgical removal.
C. There is no direct association between topical 5-FU treatment and anorexia.
Nutritional intake monitoring may not be necessary unless symptoms develop.
D. Topical 5-FU causes localized irritation, erosion, and crusting of treated areas, which typically take weeks to heal. This instruction is important for the patient to understand the expected outcome of the treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The position of the testicles is not typically indicative of testicular cancer, and further testing is not warranted based solely on this finding.
B. The difference in testicular position is not likely related to a hernia, and Steve's history and symptoms do not suggest hernia.
C. Testicular asymmetry, where one testicle hangs lower than the other, is a common and normal variation in many men.
D. Testicular asymmetry alone is not an indication for a scrotal ultrasound, and Steve's presentation does not raise suspicion for underlying pathology.
Correct Answer is C
Explanation
A. Tonsillitis typically presents with sore throat, difficulty swallowing, and inflamed tonsils, but it does not involve ear pain or tympanic membrane abnormalities.
B. Laryngitis presents with hoarseness or loss of voice due to inflammation of the larynx, not ear pain or tympanic membrane abnormalities.
C. Acute otitis media commonly presents with ear pain, dull tympanic membrane, and may be preceded by an upper respiratory tract infection. Tender, enlarged postauricular lymph nodes can also be present.
D. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but not with ear pain or tympanic membrane abnormalities.
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