The nurse is planning care for a patient with a malignant skin lesion. Which type of malignant skin lesion should the nurse realize has the poorest prognosis?
a. Lentigo melanoma
b. Nodular melanoma
c. Basal cell carcinoma
d. Squamous cell carcinoma
ANS: B
Malignant melanoma is highly metastatic, with a higher mortality rate than basal or squamous cell carcinoma. There are three general types: lentigo maligna, superficial spreading, and nodular. Nodular melanoma has the least favorable prognosis. A. Lentigo maligna melanoma appears as a slow-growing dark macule on exposed skin surfaces (especially the face) of older patients. The lesion has irregular borders and brown, tan, and black coloring. Prognosis is good if treated in the early stage. C. Basal cell carcinoma arises from the basal cell layer of the epidermis. It is the most common type of skin cancer. D. Squamous cell carcinoma arises from the epidermis. Untreated squamous cell carcinoma can metastasize to distant areas of the body.
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The community health nurse is preparing to establish a partnership with other community health professionals. Which of the following would be key?
A) Looking for other professionals who have similar beliefs B) Using visual and creative consensus-building techniques C) Maintaining a strict focused plan toward goal achievement D) Developing the plan first and then involving partners
A nurse is performing an admission assessment on a patient. When collecting objective and subjective data, the nurse identifies as subjective data that
1. The patient is short of breath. 2. The patient has wound drainage. 3. The patient has low blood pressure. 4. The patient reports feelings of fatigue.
According to the Ottawa Charter for Health Promotion, which of the following are included in the areas for health promotion action? (Select all that apply.)
a. Creating supportive environments b. Developing personal skills c. Building healthy public policy d. Reorienting health services e. Developing community partnerships
A pregnant patient has a hemoglobin of 10 g/dl and a Hct of 30%. The clinic nurse recognizes the fetus is at risk for: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Macrosomia. 2. Respiratory distress syndrome. 3. Low birth weight. 4. Prematurity. 5. Prenatal mortality.