A patient develops skin cancer on the head and neck following years of sunbathing. Which of the following cancers is most likely?
a. Lymphoma
b. Adenoma
c. Basal cell carcinoma
d. Leukemia
ANS: C
Basal cell carcinoma is related to UV radiation primarily from the sun. Neither lymphoma, ade-noma, nor leukemia is related to sunbathing.
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A woman at 30 weeks' gestation is 80% effaced and 5 cm dilated. Which action by the nurse takes priority?
A. Arrange a palliative care consult for probable fetal demise. B. Encourage the woman to attempt a trial of labor before undergoing a cesarean section. C. Ensure that informed consent for a cesarean birth is on the chart. D. Inform the woman that if the tocolytic therapy is successful, she will deliver.
The instruction that should be given to the patient with portal hypertension to reduce the threat of hemorrhage is to:
1. eat bland foods. 2. avoid straining to have a bowel movement. 3. increase fluid intake. 4. use an electric razor to shave.
A 56-year-old patient who has no previous history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that
a. a BP recheck should be scheduled in a few weeks. b. dietary sodium and fat content should be decreased. c. there is an immediate danger of a stroke and hospitalization will be required. d. diagnosis of a possible cause, treatment, and ongoing monitoring will be needed.
The charge nurse is assessing several postpartum clients. Which client has the greatest risk for postpartum hemorrhage?
1. The client who was overdue and delivered vaginally 2. The client who delivered by scheduled cesarean delivery 3. The client who had oxytocin augmentation of labor 4. The client who delivered vaginally at 36 weeks