The nurse is assisting with a community education program on prevention of skin cancer. Which factors should the nurse teach patients that may contribute to the development of skin malignancies? (Select all that apply.)
a. Fair skin
b. High-fat diet
c. Immunosuppressive therapy
d. Use of sunscreen preparations
e. Exposure to UV rays
ANS: A, C, E
The major cause of skin malignancies is overexposure to UV rays, most commonly sunlight. Other factors include being fair skinned and blue eyed; genetic tendencies; history of x-ray therapy; exposure to certain chemical agents (e.g., arsenic, paraffin, coal tar); burn scars; chronic osteomyelitis; and immunosuppressive therapy. B. High-fat diet is a risk factor for some cancers (colon and breast), but there is no evidence at this time that it contributes to skin cancer. D. Sunscreen protects against skin cancer.
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A nurse researcher has chosen to use the phenomenologic method. What feature distinguishes the intensive dialogue the researcher will use in this method from a simple interview?
a. Notes are made about the participant's responses during the interview. b. The researcher is fully engaged, becoming a thoughtful presence during the interview. c. The questions posed during the interview were developed before the actual interview occurred. d. The researcher completes the questionnaire for the participant to avoid misunderstanding or confusion.
The nurse is caring for an elderly patient who has no apparent family. When questioned about his family and his definition of family, the patient states, "I have no family. They're all gone."
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The nurse is caring for a patient who is receiving warfarin (Coumadin) and notes bruising and petechiae on the patient's extremities. The nurse will request an order for which laboratory test?
a. International normalized ratio (INR) b. Platelet level c. Partial thromboplastin time (PTT) and activated partial thromboplastin time (aPTT) d. Vitamin K level
A 51-year-old female client has been reading health magazines and is aware of the fact
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