A patient has an irregularly shaped, brown to black lesion on the upper arm that has changed color recently. The widest diameter is 6 mm. You should:
A. Measure and record the dimensions and schedule follow-up to repeat measurement in 2 weeks
B. Biopsy the lesion
C. Obtain skin scraping for dermatophytes
D. All of the above
ANS: B
In malignant melanoma, there is usually a history of a changing mole or other area of hyperpigmentation. The lesion is usually greater than 0.5 cm in diameter and has notched or irregular edges, irregular pigmentation, and asymmetry of shape. Like other skin disorders, there are variations in appearance, and there should be a high suspicion for melanoma in any changing pigmented skin lesion. Biopsy is diagnostic.
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Myxedema is brought on by
A) severe hyponatremia. B) profound increased metabolism. C) extreme hypothyroidism. D) adrenal crisis.
The nurse prepares to administer isosorbide dinitrate (Isordil) 2.5 mg sublingual (SL) to the client with continuous nasointestinal tube feedings. Which should the nurse implement for the client's safety and well-being?
1. Crush the tablet and mix into the formula. 2. Crush tablet and instill it through the NIT. 3. Ask for nitroglycerin ointment prescription. 4. Administer Isordil 2.5 mg under the tongue.
The nurse reviews a published analytical research study that compares one group of clients who developed diabetes mellitus before the start of the study with a group of clients without diabetes mellitus. Which type of study design was used in this study?
A) Case control B) Case C) Clinical trial D) Cohort
A community/public health nurse had to make quite a few decisions in setting up a health fair in a community church, including which tests to include. Which variables must be considered? Select all that apply
A. Cost and convenience of possible screening tests B. Community's culture and support for such screening tests C. Number and type of volunteers available to assist D. The health risks inherent in the target population E. What would make the best photograph for the community media? F. What would most please the local politicians?