A man has come in to the clinic for a skin assessment because he is worried he might have skin cancer. During the skin assessment the nurse notices several areas of pigmentation that look greasy, dark, and "stuck on" his skin
Which is the best prediction?
a.
Senile lentigines, which do not become cancerous
b.
Actinic keratoses, which are precursors to basal cell carcinoma
c.
Acrochordons, which are precursors to squamous cell carcinoma
d.
Seborrheic keratoses, which do not become cancerous
ANS: D
Seborrheic keratoses appear like dark, greasy, "stuck-on" lesions that primarily develop on the trunk. These lesions do not become cancerous. Senile lentigines are commonly called liver spots and are not precancerous. Actinic (senile or solar) keratoses are lesions that are red-tan scaly plaques that increase over the years to become raised and roughened. They may have a silvery-white scale adherent to the plaque. They occur on sun-exposed surfaces and are directly related to sun exposure. They are premalignant and may develop into squamous cell carcinoma. Acrochordons are skin tags and are not precancerous.
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The primary purpose of licensure for RNs is to:
a. prevent others from using the title nurse. b. demonstrate a specialized body of knowledge. c. protect the public. d. enhance recognition for the profession.
Swanson states that her original research focus for her dissertation was to study what it was like for women to experience miscarriage. However, she changed her area of focus when
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A patient with pneumonia has been using the incentive spirometer four times daily while awake during his 3-day hospitalization. How would the nurse explore the effectiveness of this intervention?
a. The nurse would ask whether the patient was breathing better. b. The nurse would add turn, cough, and deep breathing exercises. c. The nurse would watch the patient use the incentive spirometer. d. The nurse would auscultate the lungs for adventitious breath sounds.