Of all the following malignant skin cancers, which one is the most common?
Squamous cell carcinoma
Actinic keratosis
Kaposi sarcoma
Melanoma
The Correct Answer is D
Choice A reason: Squamous cell carcinoma is a type of skin cancer that develops from the squamous cells that make up the outer layer of the skin. It usually appears as a scaly, red, or crusty patch or lump that may bleed or ulcerate. It is the second most common type of skin cancer, after basal cell carcinoma, but it is less common than melanoma.
Choice B reason: Actinic keratosis is a skin condition that causes rough, scaly, or crusty patches or spots on the skin that are usually caused by sun exposure. It is not a type of skin cancer, but it is considered a precancerous lesion, as it can sometimes develop into squamous cell carcinoma if left untreated.
Choice C reason: Kaposi sarcoma is a rare type of skin cancer that causes purple, red, or brown patches or nodules on the skin or mucous membranes. It is caused by a virus called human herpesvirus 8 (HHV-8), and it mainly affects people with weakened immune systems, such as those with HIV/AIDS or organ transplants.
Choice D reason: Melanoma is a type of skin cancer that develops from the melanocytes, the cells that produce the pigment melanin that gives the skin its color. It usually appears as a mole or a new or changing spot on the skin that may have an irregular shape, color, or border. It is the most common type of skin cancer, and also the most serious, as it can spread to other parts of the body if not detected and treated early.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Changing facial expression is not a likely action to be observed during the assessment, as PD causes reduced facial expression or mask-like face. The client may have difficulty blinking, smiling, or showing emotions.
Choice B reason: Frequent movement is not a likely action to be observed during the assessment, as PD causes slowed movement or bradykinesia. The client may have difficulty initiating, continuing, or completing movements.
Choice C reason: Resting hand tremors is a likely action to be observed during the assessment, as PD causes rhythmic shaking of the hands, fingers, or other body parts. The tremors usually occur when the affected limb is at rest and may decrease when the client is performing tasks.
Choice D reason: Fast movements is not a likely action to be observed during the assessment, as PD causes impaired movement or dyskinesia. The client may have involuntary, jerky, or twisting movements that are often unpredictable and uncontrollable.
Choice E reason: None of the above is not the correct answer, as there is one choice that is a likely action to be observed during the assessment.
Correct Answer is A
Explanation
Choice A reason: This action is correct because the client is showing signs of a possible stroke, such as a severe headache and numbness in one side of the body. The nurse should call 9-11 immediately to get the client to the nearest hospital for urgent evaluation and treatment. The nurse should also monitor the client's vital signs, neurological status, and airway until help arrives.
Choice B reason: This action is incorrect because the client's headache and numbness are not likely to be caused by a migraine, but by a stroke. The nurse should not waste time asking about the client's history of headaches, but rather act quickly to get the client to the hospital. The nurse should also not assume that the client's symptoms are benign or familiar, but rather treat them as an emergency.
Choice C reason: This action is incorrect because the client's headache and numbness are not likely to be relieved by acetaminophen, but by a stroke. The nurse should not give the client any medication without a doctor's order, especially if the client has a history of TIA or stroke. The nurse should also not delay calling 9-11 by administering medication, as every minute counts in saving the client's brain cells.
Choice D reason: This action is incorrect because the client's headache and numbness are not likely to resolve within 24 hours, but by a stroke. The nurse should not reassure the client that the symptoms are temporary or harmless, but rather alert the client that they are signs of a serious condition. The nurse should also not delay calling 9-11 by providing false comfort, as the client's condition may worsen rapidly.
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