The nurse is assessing a client for the risk of developing skin cancer. It would be a priority for the nurse to suggest follow up for which client?

24-year-old who uses a tanning booth on a weekly basis

40-year-old who complains of freckles all over her body

50-year-old who goes to the beach at 8 AM daily for a swim

25 year old who uses a tanning spray in the summer

Answer and Explanation

The Correct Answer is A

A. Tanning beds significantly increase the risk of developing skin cancer, particularly melanoma. The UV radiation from tanning beds is a known carcinogen, and frequent use can damage the skin's DNA, leading to an increased risk of skin cancer. This individual is at high risk and should definitely follow up for skin cancer screenings.
B. While freckles can be a sign of sun exposure, they are not necessarily indicative of a higher risk of skin cancer. However, it is important for this individual to monitor for any changes in freckles (such as size, shape, or color) and to perform regular self-exams.
C. While sun exposure should be minimized, the risk of skin cancer is lower at 8 AM when UV rays are less intense. That said, the individual should still take precautions like wearing sunscreen and protective clothing, but their risk is not as elevated as that of someone using tanning beds.
D. Tanning sprays do not expose the skin to harmful UV radiation, so they do not increase the risk of skin cancer. However, it's important to note that this individual should still be mindful of overall skin health.

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Correct Answer is B

Explanation

A. Loss of appetite following surgery is common due to the body’s stress response and recovery process. While this may affect nutrition, it is not immediately concerning unless it persists or is associated with other symptoms like vomiting or fever.
B. Absent bowel sounds in the lower abdominal quadrants is a serious concern and requires nursing intervention. It could indicate ileus or bowel obstruction, both of which can lead to serious complications such as bowel perforation or peritonitis. If bowel sounds are absent and the client is post-surgery, this may need further assessment and intervention.
C. Mild pain at the surgical site when sitting up is typical after surgery, especially abdominal surgery. Mild pain or discomfort is expected in the early post-operative period and generally does not require urgent intervention unless it becomes severe or is unmanageable.
D. The client requires the use of a colostomy bag – This is an expected and necessary part of recovery for clients undergoing surgery to redirect intestinal contents. It does not indicate a complication but rather a standard post-operative outcome.

A. Soft-boiled eggs are an appropriate source of protein. B. Bottled water is an appropriate choice to increase fluid intake C. The salad bar is a healthy choice when dining out. D. Eating at a buffet a good choice to increase caloric intake

Correct Answer is B

Explanation

A. Soft-boiled eggs may pose a risk to individuals with neutropenia due to the potential for bacterial contamination (e.g., from undercooked eggs), which could lead to infection. It's generally safer to consume fully cooked eggs.
B. Bottled water is considered a safe choice for individuals with neutropenia because it is typically filtered and sealed, reducing the risk of bacterial contamination from tap water. Ensuring safe water intake is crucial for preventing infections in individuals with weakened immune systems.
C. Salad bars can be risky for individuals with neutropenia due to the potential for contaminated raw vegetables or improper food handling, which can lead to foodborne illnesses. Raw or unwashed vegetables may harbor harmful bacteria.
D. Buffets can be risky for individuals with neutropenia because the food may be left out at unsafe temperatures for extended periods, increasing the risk of contamination. Individuals with neutropenia should avoid foods from buffet-style setups.

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The nurse is assessing a client for the risk of developing skin cancer. It would be a priority for the nurse to suggest follow up for which client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body. Which of the following post-surgical manifestations require nursing intervention to avoid a serious complication?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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