A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma?

Dark hair

Female gender

History of chronic skin irritation

Age 19 to 30 years

Answer and Explanation

The Correct Answer is C

Choice A reason:
Dark hair is not a recognized risk factor for developing malignant melanoma. Melanoma is more commonly associated with individuals having fair skin, light hair, and light-colored eyes because they have less melanin to protect their skin from UV radiation.

Choice B reason:
While female gender is not a direct risk factor for malignant melanoma, it is important to note that melanoma rates can vary between genders at different ages. Generally, before age 50, melanoma rates are higher in women, but by age 65, rates are twice as high in men.

Choice C reason:
A history of chronic skin irritation or inflammation can potentially increase the risk of developing skin cancer, including melanoma. Chronic inflammation can lead to DNA damage and contribute to the development of cancerous cells.

Choice D reason:
Age 19 to 30 years is not considered a high-risk age group for malignant melanoma. The risk of melanoma increases with age, and it is most frequently diagnosed in older adults, although it is not uncommon in younger people.

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Correct Answer is ["A","D","E"]

Explanation

Choice B reason:
Sleeping on a soft mattress is not recommended for preventing low back pain. A medium-firm mattress often provides better support for the spine. A soft mattress may allow the body to sink in too deeply, causing misalignment of the spine during sleep.

Choice C reason:
Applying heat for 10 minutes every hour is not a standard recommendation for preventing low back pain. While heat therapy can help relax muscles and relieve pain, it is typically advised to apply heat for longer periods, such as 15-20 minutes, and not as frequently as every hour.

Choice D reason:
Sleeping in a side-lying position with flexed knees can help maintain the natural curve of the spine and minimize back strain. This position can also reduce pressure on the back and is often recommended for those with low back pain.

Choice E reason:
Trying padded shoe insoles can help minimize back strain by providing additional support and cushioning for the feet, which can improve alignment and reduce the impact on the back during walking or standing.

A. "Use a natural membrane condom rather than a polyurethane condom." B. "Female condoms can help prevent transmission of sexually transmitted viruses." C. "You may use a condom more than once." D. "Use an oil-based lubricant when you use a condom."

Correct Answer is B

Explanation

Choice A reason:

The statement about using a natural membrane condom rather than a polyurethane condom is incorrect. Natural membrane condoms, such as those made from lambskin, have small pores that can allow viruses to pass through. Therefore, they are not recommended for the prevention of STIs. Polyurethane condoms, on the other hand, do not have these pores and are considered effective in preventing STIs, including HIV.

Choice B reason:

Female condoms, also known as internal condoms, are effective in preventing the transmission of sexually transmitted viruses, including HIV. They act as a barrier to prevent the exchange of bodily fluids during sexual activity, thereby reducing the risk of STI transmission. It's important to include this information in the teaching as it empowers individuals with an additional option for protection.

Choice C reason:

Condoms are designed for single use only. Using a condom more than once greatly increases the risk of condom failure, which can lead to the transmission of STIs or unintended pregnancy. It is crucial to emphasize the importance of using a new condom for each act of sexual intercourse.

Choice D reason:

Oil-based lubricants should not be used with latex condoms as they can weaken the material, leading to condom breakage. Instead, water-based or silicone-based lubricants are recommended as they do not damage the condom and can help prevent breakage.

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A nurse is assessing a client at a dermatology clinic. Which of the following findings places the client at risk for developing malignant melanoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is teaching a group of teenage clients about the use of condoms for the prevention of sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

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