A nurse is assessing a client who presents to the provider’s office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?

Intense pruritus

Irregular borders

Uniform pigmentation

Purulent drainage

Answer and Explanation

The Correct Answer is B

Choice A reason:

Intense pruritus: While itching (pruritus) can be a symptom of skin conditions, it is not a definitive sign of malignancy in nevi. Pruritus can be associated with benign conditions such as eczema or allergic reactions. However, if a mole starts to itch, it should be monitored closely, but it is not as strong an indicator of malignancy as irregular borders.

Choice B reason:

Irregular borders: This is a significant sign of potential malignancy in nevi. Melanomas often have uneven, notched, or scalloped borders, unlike benign moles, which typically have smooth, even borders. The irregularity in the border is due to the uncontrolled growth of melanocytes, which can spread unevenly.

Choice C reason:

Uniform pigmentation: Uniform pigmentation is generally a sign of a benign mole. Malignant moles often have multiple colors or an uneven distribution of color, which can include shades of brown, black, red, white, or blue. A mole with uniform color is less likely to be malignant.

Choice D reason:

Purulent drainage: While purulent drainage (pus) indicates an infection, it is not a typical sign of malignancy in nevi. Infections can occur in any skin lesion, but they do not specifically indicate cancer. Malignant moles are more likely to change in size, shape, or color rather than produce pus.

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Free Nursing Study Resources

Correct Answer is ["100"]

Explanation

The answer is 100.

Step 1: Determine the total volume to be infused. = 200 mL

Step 2: Determine the total time for infusion. = 2 hours

Step 3: Calculate the infusion rate in mL/hr. Calculation: 200 mL ÷ 2 hours = 100 mL/hr

The nurse should set the IV pump to deliver 100 mL/hr.

A. A negative-pressure isolation room. B. A private room. C. A semi-private room with a client who has pediculosis capitis. D. A positive-pressure isolation room.

Correct Answer is B

Explanation

Choice A reason: A Negative-Pressure Isolation Room

A negative-pressure isolation room is typically used for patients with airborne infections, such as tuberculosis, to prevent the spread of infectious particles through the air. Scabies, however, is spread through direct skin-to-skin contact or contact with contaminated items, not through the air. Therefore, a negative-pressure room is not necessary for a client with scabies.

Choice B reason: A Private Room

Placing the client in a private room is the appropriate action. This helps to prevent the spread of scabies to other patients and staff. Scabies is highly contagious, and isolating the affected individual minimizes the risk of transmission. The client should remain in the private room until the treatment regimen is complete and they are no longer contagious.

Choice C reason: A Semi-Private Room with a Client Who Has Pediculosis Capitis

A semi-private room with a client who has pediculosis capitis (head lice) is not appropriate. While both conditions involve parasites, they are different and require separate management and treatment protocols. Placing two clients with different contagious conditions in the same room increases the risk of cross-contamination and complicates infection control measures.

Choice D reason: A Positive-Pressure Isolation Room

A positive-pressure isolation room is used to protect immunocompromised patients from external contaminants by ensuring that air flows out of the room rather than in. This type of room is not suitable for a client with scabies, as it does not address the mode of transmission for this condition.

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A nurse is assessing a client who presents to the provider’s office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["100"]

Explanation

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?

Correct Answer is B

Explanation

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