A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?

A crusted lesion with indurated margins.

A small, translucent papule with rolled borders

A multi-colored lesion with irregular borders

A small macule with dry yellow scale

Answer and Explanation

The Correct Answer is B

Basal cell carcinoma is the most common type of skin cancer and usually occurs on sun-exposed areas of the skin. It is slow-growing and rarely metastasizes. It appears as a small, translucent papule with rolled borders that may ulcerate and bleed.

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Correct Answer is A

Explanation

This is because pursed-lip breathing helps to prevent air trapping and promote gas exchange by creating positive pressure in the airways. The nurse should also teach the client to exhale slowly and completely through pursed lips. The other interventions are not appropriate for a client who has COPD.

A. Difficulty swallowing B. Urinary output 25 mL/hr C. Heart rate 122/min D. Pain of 6 on a scale of 0 to 10

Correct Answer is A

Explanation

Difficulty swallowing is the priority finding to report to the provider. Rationale: This is because difficulty swallowing can indicate airway edema, which can compromise breathing and oxygenation. The nurse should monitor the client's respiratory status and administer oxygen as prescribed. The other findings are also important, but not as urgent as airway obstruction.

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A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

Correct Answer is A

Explanation

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?

Correct Answer is A

Explanation

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A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?

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