A client has numerous skin lesions. Which one should the nurse suggest be evaluated as possibly being malignant?
A. Beige freckles on the backs of both hands
B. Irregular blue mole with white specks on the lower leg
C. Large cluster of pustules in the right axillary area
D. Raised, tubular, white, snakelike areas on the inner aspects of the wrists
B
This mole fits two of the criteria for being cancerous or precancerous: variation of color within one lesion, and indistinct or irregular border. Melanoma is an invasive malignant disease with the potential for a fatal outcome.
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In which situation would a client possibly require glucose management by sliding scale insulin?
a. clients with type 1 diabetes mellitus experiencing illness, stress, or surgery b. clients with type 1 or type 2 diabetes mellitus experiencing illness, stress, or surgery c. clients newly diagnosed with type 2 diabetes mellitus d. clients participating in a rigorous sport or activity
An older patient is being admitted to an acute care unit after surgical repair of a fractured tibi
a. To minimize any negative factors affecting the patient's ability to sleep, the nurse's initial inter-vention is to: a. be sure postoperative pain is being well managed. b. manipulate the environment to manage light and noise. c. plan care to minimize the number of times the patient is disturbed. d. ask the patient about usual sleeping habits.
A 29-year-old woman presents to the urgent care center with a history of a severe headache of 2 hours' duration. She describes it as bandlike and constricting. In interviewing the woman about her complaint, you would ask:
a. whether she has experienced increased tearfulness. b. the date of her last menstrual period. c. whether these headaches started in child-hood. d. whether she is particularly stressed or overworked.
The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. The nurse would include which interventions in the teaching plan?
Select all that apply. 1. Kegel exercises 2. increased caffeine intake 3. use of progesterone supplements 4. proper perineal care 5. use of perineal pads