The nurse records observations of patients' melanomas. Which of the following melanomas would indicate poorest prognosis?
A) Deep, darkly pigmented papule on the back
B) Thin, red-pigmented, flat lesion on the arm
C) Thin, irregularly pigmented lesion on the leg
D) Thin, variably pigmented plaque on the chest
A
Feedback:
The prognosis depends on the depth, rather than the type, of melanoma. (A is a nodular melanoma; B and C describe lentigo maligna melanomas; and D describes a superficial spreading melanoma.)
You might also like to view...
What part of the nursing process includes the collection of data on vital signs, allergies, sleep patterns, and feeding behaviors?
a. Assessment b. Planning c. Intervention d. Evaluation
A woman is aware that she is the carrier of a sex-linked recessive disease (hemophilia A); her husband is free of the disease. What frequency of this disease could she expect to see in her children?
A) All male children will inherit it. B) All female children will be carriers like she is. C) One-half of her male children will inherit the disease. D) One-half of her female children will inherit the disease.
A 16-year-old client has a long leg cast secondary to a fractured femur. To effectively facilitate the adolescent's return to school, the school nurse should:
1. Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair-accessible. 2. Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent. 3. Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen. 4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.
The nurse working with clients who seek genetic counseling or testing helps the client and family manage potential psychosocial distress that can accompany test results, including (Select all that apply)
a. disclosure of nonrelatedness. b. disrupted family processes. c. guilt feelings for passing on diseases. d. impairment in self-esteem. e. survivor guilt.