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 C

Explanation

The client received a dose of clopidogrel at 2200. Clopidogrel is an antiplatelet drug that increases the risk of bleeding during and after a liver biopsy. The healthcare provider should be informed of this medication and decide whether to postpone the biopsy or administer reversal agents.

Choice A is wrong because being NPO since 2300 is a standard preparation for a liver biopsy.

Choice B is wrong because pain in the left lower quadrant and constipation are not related to the liver biopsy and do not pose an immediate risk.

Choice D is wrong because having an allergy is not relevant to the liver biopsy unless it is an allergy to the local anesthetic or contrast agent used.

A. Call for assistance. B. Give 2 rescue breaths. C. Check for apical pulse. D. Begin chest compressions.

Correct Answer is A

Explanation

This is because the nurse should first ensure that help is on the way before performing any other actions on an unconscious and unresponsive client. Calling for assistance may also alert someone who can bring an automated external defibrillator (AED) if needed.

Choice B is wrong because giving 2 rescue breaths is part of CPR, which should only be done after checking for a pulse and finding none or a weak one.

Giving rescue breaths to a client who has a pulse may cause harm.

Choice C is wrong because checking for apical pulse is not the most reliable way to assess circulation in an emergency situation. The nurse should check for a carotid pulse instead, which is easier to locate and more indicative of blood flow to the brain.

Choice D is wrong because beginning chest compressions is also part of CPR, which should only be done after calling for assistance and checking for a pulse and finding none or a weak one.

Chest compressions may cause harm to a client who has a pulse.

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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

A night nurse is preparing a client for a liver biopsy the next morning at 8:00 AM. Which data is the most important for the nurse to report to the healthcare provider? The client:.

Correct Answer is C

Explanation

A nurse finds an adult client lying unconscious & unresponsive on the bathroom floor. Which action should the nurse take first?

Correct Answer is A

Explanation

The nurse is assessing a client experiencing acute pain. What assessments should validate the client with acute pain? Select all that apply.

A client who is taking warfarin has an international normalized ratio (INR) of 0.8. Which question should a nurse ask to further evaluate the client?

Which action is essential when assessing for drainage in a client with a large abdominal wound?

A nurse is reviewing a medication reconciliation for an 80-year-old client with renal disease. Which medication should the nurse be most concerned about?

Which age-related physiological change puts a client at higher risk for adverse medication complications?

Which electrolyte imbalance should a nurse expect to assess in a client who reports diarrhea for the past three days?

A client has been recently started on phenelzine, a monoamine oxidase inhibitor (MAOI) for depression. Which statement indicates that the client requires further educational reinforcement about the medication?

A nurse is teaching a client about preparation for a barium enema. What client statement indicates the client requires further reinforcement of teaching?