An 80-year-old extended-care resident comes to the nurse asking for a bandage for a bleeding, dark pigmented mole with irregular shape and border. What does the nurse suspect?
a. Melanoma
b. Basal cell carcinoma
c. Cutaneous papilloma
d. Senile lentigo
ANS: A
Melanomas are dark, irregularly shaped lesions that may cause itching or bleeding. These are potentially deadly and should be reported to obtain quick treatment.
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A client underwent a total mastectomy, involving the removal of breast tissue. Which of the following advice should the nurse provide the client in the selection of a prosthesis?
A) Purchase a prosthesis filled with sand. C) Purchase a loose-fitting prosthesis. B) Purchase a tight fitting prosthesis. D) Purchase a prosthesis filled with fluid.
The health care provider reports that the primigravida's fundus can be palpated at the umbilicus. Which priority question will the nurse include in the client's assessment?
a. "Have you noticed that it is easier for you to breathe now?" b. "Would you like to hear the baby's heartbeat for the first time?" c. "Have you felt a fluttering sensation in your lower pelvic area yet?" d. "Have you recently developed any unusual cravings, such as for chalk or dirt?"
During a home visit the nurse notes that the caregiver does not apply clean gloves before removing the patient's leg wound dressings. What should the nurse do to encourage infection control practices in this home?
1. Place the box of gloves next to the sink in the bathroom. 2. Remind the caregiver to wash hands after completing wound care. 3. Place the box of gloves next to the bag used to discard soiled dressings. 4. Encourage the caregiver to touch only the edges of the soiled dressings.
Patients who require home care often experience physical alterations that require changes in their home environment. In the case of older adults, what is the best way to make these changes?
a. Make changes quickly to prevent problems. b. Make changes to limit the patient's need to move around. c. Make changes to complement the patient's strengths. d. Make changes regardless of the patient's previous sense of personal space.