Which of the following nursing interventions is appropriate for a client with malignant melanoma?

Assist the client with physical therapy exercises

Administer pain medication as ordered

Monitor for signs of infection

Educate the client about the importance of sun protection and skin checks

Answer and Explanation

The Correct Answer is D

A. Assist the client with physical therapy exercises:
May be useful postoperatively or in metastatic cases, but not a priority intervention specific to melanoma.

B. Administer pain medication as ordered:
Important if there's pain, but melanomas are often painless. This is supportive, not specific.

C. Monitor for signs of infection:
More relevant post-surgery or chemotherapy, not specific to melanoma management.

D. Educate the client about the importance of sun protection and skin checks:
Prevention and early detection are essential for reducing recurrence and catching new melanomas early.

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Correct Answer is A

Explanation

A. Swelling and tenderness around the wound:
These are classic signs of infection, indicating inflammation and possible bacterial invasion.

B. Urticaria and itching around the wound:
These are signs of an allergic reaction, not infection.

C. Serosanguineous drainage from the wound:
This is normal wound drainage, especially in early healing.

D. Brown crusting over the wound:
This may indicate scab formation or dried exudate, not necessarily infection.

A. Minimal edema in the affected extremities B. Temperature of 39.1 C (102.4 F) C. Pain at the burn sites D. urine output of 30 ml/hr

Correct Answer is B

Explanation

A. Minimal edema in the affected extremities:
Expected after 72 hours as inflammation begins to subside.

B. Temperature of 39.1°C (102.4°F):
Elevated temperature may indicate infection or systemic inflammation and should be reported.

C. Pain at the burn sites:
Pain is expected, especially in partial-thickness burns where nerve endings are exposed.

D. Urine output of 30 mL/hr:
While on the lower end of normal, this is still acceptable for an adult (minimum: 30 mL/hr).

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Which of the following nursing interventions is appropriate for a client with malignant melanoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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