Paul, 25, uses a tanning booth weekly, has multiple dysplastic nevi, is fair-skinned with blue eyes, and his mother died of malignant melanoma. Which risk factor should the nurse focus on for teaching?
Weekly use of tanning booth
Dysplastic nevi
Family history of melanoma
Fair skin and blue eyes
The Correct Answer is A
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A. The nurse should focus on teaching Paul about the dangers of using a tanning booth weekly, as this is the risk factor that he can modify. A tanning booth exposes the skin to artificial ultraviolet (UV) radiation, which can damage the DNA of skin cells and increase the risk of developing malignant melanoma.
B. Dysplastic nevi (atypical moles) are also a nonmodifiable risk factor for melanoma.C. Family history of melanoma is a non-modifiable risk factor for melanoma unlike weekly use of a tanning booth which is modifiable.
D. Fair skin and blue eyes are additional risk factors for melanoma, but is non- modifiable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Inflammatory myositis, such as dermatomyositis, is typically treated with immune modulators like methotrexate to suppress the immune system and reduce inflammation.
B. NSAIDs may help with pain relief but are not typically used as the primary treatment for inflammatory myositis.
C. IV immunoglobulin may be used in some cases of inflammatory myositis, particularly in those with refractory disease, but it is not the first-line treatment.
D. Vitamin D supplements are not specific treatments for inflammatory myositis.
Correct Answer is A
Explanation
A. Emily is showing signs of myasthenic crisis, a life-threatening condition characterized by severe weakness of respiratory muscles. Initiating mechanical ventilation is the most immediate intervention to ensure adequate oxygenation and ventilation.
B. Administering high-dose corticosteroids may be part of the treatment for myasthenia gravis but would not address the immediate need for respiratory support.
C. Neostigmine is a medication used to treat myasthenia gravis but may not provide rapid relief in a crisis situation.
D. Providing supplemental oxygen may help temporarily but would not address the underlying respiratory muscle weakness and need for mechanical ventilation.
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