Which may indicate a malignant melanoma in a nevus on a patient's arm?

a. Even coloring of the mole
b. Decrease in size of the mole
c. Irregular border of the mole
d. Symmetry of the mole


ANS: C
Any change in color, size, or texture and any bleeding or pruritus of a nevus deserves investigation. A malignant melanoma is a cancerous neoplasm in which pigment cells or melanocytes invade the epidermis, dermis, and sometimes the subcutaneous tissue.

Nursing

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The infant of a diabetic mother is hypoglycemic. The type of feeding that should be in-stituted first is:

a. Small amount of glucose water followed by formula or breast milk. b. D5W intravenously. c. Formula via nasogastric tube. d. Glucose water.

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A client with advanced breast cancer, who has had both chemotherapy and radiation therapy, is to start hormonal therapy. Which agent would the nurse expect the client to receive?

A) Progestins B) Tamoxifen C) Cortisone D) Estrogen

Nursing

The home health nurse assesses the patient with Parkinson's disease who has just been placed on carbidopa-levodopa. What side effects should the nurse be alert for when assessing this patient? (Select all that apply.)

a. Urinary retention b. Rash c. Increased diaphoresis d. Orthostatic hypotension e. Hematuria

Nursing

The nurse works in a school-based clinic. She is having a conversation with a 16-year-old student who has just learned that she is 3 months pregnant

The nurse emphasizes the importance of making an appointment with a certified midwife or physician for her first prenatal visit. The nurse is concerned the student is high risk for having a low birth weight baby. The nurse knows that low birth weight is A) the third leading cause of preventable neonatal death behind SIDS and accidental injury. B) associated with long-term disabilities, such as cerebral palsy, autism, mental retardation, and vision and hearing impairment. C) more prevalent in younger mothers. D) impacted by the emotional stress of the family.

Nursing