The nurse caring for a patient with malignant melanoma explains that the first and most important treatment for malignant melanoma is:
A) Chemotherapy
B) Immunotherapy
C) Wide excision
D) Radiation therapy
Ans: C
Feedback: Wide excision is the primary treatment for malignant melanoma; it removes the entire lesion and determines the level and staging. Chemotherapy may be used after the melanoma is excised. Immunotherapy is experimental. Radiation therapy is palliative.
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A client in shock has been started on dopamine. What assessment finding requires the nurse to communicate with the provider immediately?
a. Blood pressure of 98/68 mm Hg b. Pedal pulses 1+/4+ bilaterally c. Report of chest heaviness d. Urine output of 32 mL/hr
A nurse is caring for a client receiving enteral feedings through a Dobhoff tube. What action by the nurse is best to prevent hyperosmolarity?
a. Administer free-water boluses. b. Change the client's formula. c. Dilute the client's formula. d. Slow the rate of infusion.
Which of the following situations poses the most concern?
a. The child whose weight and height ratios have remained at the 50th percentile b. The child whose weight and height ratios have stayed between the 90th and 95th percentiles c. The child whose weight and height ratios have never been above the 50th percentile d. The child whose weight and height ratios have dropped 15 percentiles since the last visit
Mannitol is an osmotic diuretic.
a. true b. false