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 is indicative of 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 out portions. A dermatofibroma presents as a firm, done-shaped papule or nodule that may be skin colored or pinkish-brown. 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.
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The nurse is caring for a client with a potassium level of 5.9 mEq/L. The health care provider prescribes both glucose and insulin for the client. The client's spouse asks, "Why is insulin needed?" Which response by the nurse is the most appropr
A) "The insulin will cause his extra potassium to move into his cells, which will lower potassium in the blood." B) "Insulin is safer than other medications that can lower potassium levels." C) "The insulin lowers his blood sugar levels and this is how the extra potassium is excreted." D) "The insulin will help his kidneys excrete the extra potassium."
A client presents with symptoms of menstrual difficulties and infertility. Which hormone is essential in the maintenance of the endometrium?
A) Estrogen B) Progesterone C) Testosterone D) Prolactin
The nurse is reinforcing factors that contribute to addiction to a group of patients recovering from addiction and their family members. Which statement made by a patient or family member would indicate the need for additional teaching?
1. "I'm not likely to have any more problems with addiction since neither of my parents had a problem with addiction." 2. "I can still see my friends as long as I stay away from alcohol." 3. "I don't want to become addicted like my husband did. I'm never going to take any kind of drug unless I absolutely have to." 4. "I realize now that I was just looking for ways to help me feel good about myself." 5. "After a while, it just seemed even though I was not in pain, I would still want to take the pain pills."
A patient with Hodgkin's disease has cervical lymph node enlargement. Which symptom should the nurse attend to first?
a. Fever b. Stridor c. Fatigue d. Pain