A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan?

a. Treatment plans include watchful waiting.
b. Screening for metastasis will be important.
c. Low dose systemic chemotherapy is used to treat BCC.
d. Minimizing sun exposure will reduce risk for future BCC.


ANS: D
BCC is frequently associated with sun exposure and preventive measures should be taken for future sun exposure. BCC spreads locally, and does not metastasize to distant tissues. Since BCC can cause local tissue destruction, treatment is indicated. Local (not systemic) chemotherapy may be used to treat BCC.

Nursing

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The nurse is assessing the client's cardiovascular system. Which techniques are appropriate for the nurse to use during this assessment? Select all that apply

1. Continuing the exam when the client complains of discomfort when lying flat. 2. Auscultating the apical impulse at the fifth intercostal space at the midclavicular line. 3. Examining the client's legs and noting that the client's hair is evenly distributed. 4. Palpating the client's carotid arteries simultaneously to determine pulse strength, rhythm, and rate. 5. Examining the client's hands and fingers and noting the presence of clubbing.

Nursing

A patient is unable to swallow pain medication following oral surgery. What would be the appropriate form of the medication to use to administer the drug using the rectal route?

a. Tablet b. Elixir c. Capsule d. Suppository

Nursing

Patterns of communication where assertiveness and confrontation are the norm will create a relationship of:

a. congruity. b. trust. c. listening. d. separation.

Nursing

The nurse asks the patient to repeat saying the number "99" several times as the rib cage is lightly palpated. The nurse is assessing for:

A) Fremitus. B) Egophony. C) Excursion. D) Crepitus.

Nursing