Which areas should the nurse teach a dark-skinned client to inspect regularly for skin cancer like melanoma?

Eyes, ears, lips, and scalp.

Palms, soles and nails.

Head, neck and trunk.

Lower legs and back.

Answer and Explanation

The Correct Answer is B

Palms, soles and nails.

Melanoma is a type of skin cancer that can develop in any color skin, including dark or black skin.

However, melanoma on dark skin is not related to sun exposure and can start in places that get little sun. That includes the palms of your hands, soles of your feet, nails, and inside your mouth, anal, and genital areas.

Choice A is wrong because eyes, ears, lips, and scalp are not common areas for melanoma in people of color.

Choice C is wrong because head, neck and trunk are more likely to be affected by sun exposure and other types of skin cancer than melanoma in people of color.

Choice D is wrong because lower legs and back are also more exposed to sun and other types of skin cancer than melanoma in people of color.

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Correct Answer is D

Explanation

temperature 101.8° F(38.8° C), BP 100/60 mm Hg, pulse 98/min, RR 28/min. This set of vital signs indicates that the client may have an infection or sepsis, which are potential complications of an open cholecystectomy. The client has a fever, tachycardia, tachypnea, and hypotension, which are signs of systemic inflammatory response syndrome (SIRS).

Choice A is wrong because it shows mild hypothermia, hypotension, and tachycardia, which could be due to dehydration or blood loss, but not necessarily infection.

Choice B is wrong because it shows a slight fever, normal blood pressure, and bradycardia, which could be due to pain or medication, but not infection.

Choice C is wrong because it shows a low-grade fever, normal blood pressure and pulse, and mild tachypnea, which could be due to inflammation or dehydration, but not infection.

A. “You don’t have to be rude about it. What day do you want?”. B. “I apologize for not hearing you say that. Is there a better day for you?”. C. “Nothing could be more important than your health. Arrange to come on Friday.”. D. “Friday is really the best day.

Correct Answer is B

Explanation

“I apologize for not hearing you say that. Is there a better day for you?”.

This response shows empathy and respect for the client’s feelings and preferences.

It also invites the client to collaborate on finding a solution that works for both parties. Choice A is wrong because it is rude and defensive.

It does not acknowledge the client’s frustration or offer any alternatives. Choice C is wrong because it is dismissive and paternalistic.

It does not respect the client’s autonomy or consider the client’s reasons for not being able to come back on Friday.

Choice D is wrong because it is persuasive and manipulative.

It does not address the client’s concerns or explore other options.

The nurse-client relationship is based on trust, respect, and collaboration.

The nurse should use therapeutic communication skills to maintain a positive rapport with the client and promote their health and well-being.

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Which areas should the nurse teach a dark-skinned client to inspect regularly for skin cancer like melanoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client in the clinic states, “I already told you I can’t come back on Friday.” Which response by a nurse would be likely to repair the client-nurse relationship?

Correct Answer is B

Explanation

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