While performing an initial assessment of a patient admitted with appendicitis, the nurse observes an elevated blue-black lesion on the patient's ear. The nurse knows that this lesion is consistent with what type of skin cancer?
A) Basal cell carcinoma
B) Squamous cell carcinoma
C) Dermatofibroma
D) Malignant melanoma
Ans: D
Feedback:
A malignant melanoma presents itself as a superficial spreading melanoma which may appear in a combination of colors, with hues of tan, brown, and black mixed with gray, blue-black, or white. The lesion tends to be circular, with irregular outer portions. BCC usually begins as a small, waxy nodule with rolled, translucent, pearly borders; telangiectatic vessels may be present. SCC appears as a rough, thickened, scaly tumor that may be asymptomatic or may involve bleeding. A dermatofibroma presents as a firm, dome-shaped papule or nodule that may be skin colored or pinkish-brown.
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A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which of the following findings?
A) Transient ischemic attack (TIA) B) Left-sided cerebrovascular accident (CVA) C) Right-sided cerebrovascular accident (CVA) D) Completed Stroke
A patient with Parkinson disease is considering taking St. John's wort, an herbal remedy for depression, in addition to Sinemet and L-dopa. What is the most appropriate nursing response?
a. Depression is reduced by the use of herbal remedies such as St. John's wort. b. Doses of St. John's wort and parkinsonian drugs should be taken on alternate days. c. St. John's wort must be taken in large doses to reduce depression. d. Herbal remedies can interfere with the effectiveness of the parkinsonian drugs.
A nurse is developing a teaching plan for the parents of a newborn. When describing the neurologic development of a newborn to his parents, the nurse would explain that the development occurs in which fashion?
A) Head-to-toe B) Lateral-to-medial C) Outward-to-inward D) Distal-to-caudal
The nurse is caring for children with communicable diseases who have Transmission-based Precautions. For which of the following clients would the nurse institute Contact Precautions?
A) A baby who has impetigo B) An infant with influenza C) A preschooler with rubella D) A toddler with severe acute respiratory syndrome