The nurse is educating adolescent high school students about when to seek medical attention regarding suspected cancerous skin lesions. Which of the following are included in the nurse's teaching? The lesion has:

An irregular border.

Asymmetrical shape.

Been increasing in size.

A diameter of less than 4 mm.

Ecchymosis.

Answer and Explanation

Correct Answer : A,B,C

A. An irregular border is a key characteristic of potentially cancerous skin lesions, particularly melanoma. Melanomas often have uneven, poorly defined edges.
B. Asymmetry is another sign of melanoma. If one half of a lesion does not match the other in shape or size, it should be evaluated by a healthcare professional.
C. Any lesion that has been increasing in size, particularly over a short period, is a concern and should be checked. Rapid growth can be a sign of malignancy.
D. A lesion with a diameter of less than 4 mm is generally less concerning, as most cancerous lesions are larger. However, the other factors (such as asymmetry and border irregularity) are more significant for diagnosis.
E. Ecchymosis (bruising) is not typically associated with cancerous skin lesions. Skin cancers like melanoma present as new or changing moles, not bruising.

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Correct Answer is B

Explanation

A. A soft, low sofa can make it difficult for the client to rise and sit safely after surgery, which may risk hip dislocation.
B. A dining room chair with armrests provides support for the client to help them sit down and stand up safely, making this the most appropriate choice.
C. A canvas lawn chair typically does not provide adequate support or height, which can complicate the sitting and standing process post-surgery.
D. A desk type, swivel chair may not be stable or supportive enough for the client, increasing the risk of falls or injury after the hip replacement.

A. Call a rapid response for more assistance B. Administer naloxone 0.4 mg SQ and reassess C. Check the temperature and apply warmed blankets D. Encourage the client to take deep breaths

Correct Answer is D

Explanation

A. Calling a rapid response may be necessary if the client's condition deteriorates, but it is not the immediate priority in this scenario where the client is still able to be aroused.
B. Administering naloxone is appropriate if there is suspicion of opioid overdose; however, the priority is to address the low oxygen saturation first with non-invasive measures.
C. Checking the temperature and applying warmed blankets may be important, but the immediate concern is the low oxygen saturation.
D. Encouraging the client to take deep breaths is the most appropriate immediate action to improve oxygen saturation levels and enhance ventilation, as the client is in a post-anesthesia state where respiratory depression can occur.

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The nurse is educating adolescent high school students about when to seek medical attention regarding suspected cancerous skin lesions. Which of the following are included in the nurse's teaching? The lesion has:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the client's understanding of discharge instructions after a total hip replacement. The nurse asks the client what type of seating should be used. The client's correct response should be a:

Correct Answer is B

Explanation

The nurse is caring for a client who had a bowel resection for colon cancer. The vital signs were stable during surgery. While in the post-anesthesia care unit (PACU) the client is sleepy but awakens easily. The pulse ox is 88%. What would be the priority action by the nurse?

Correct Answer is D

Explanation

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The nurse notes serosanguinous drainage from the nasogastric tube in the immediate postoperative period of a client who had a gastrectomy for gastric cancer. Which nursing action is appropriate?

In planning teaching sessions for a client undergoing photodynamic therapy for lung cancer, the nurse should include which statement?