A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?

Pain

Pruritus

Purplish in color

Purulent drainage

Answer and Explanation

The Correct Answer is C

Malignant melanoma is a rare but aggressive type of skin cancer that originates from melanocytes, the cells that produce pigment in the skin. It can appear as a new or changing mole that has an irregular shape, uneven color, large size, or bleeding tendency. It may also be purplish in color due to vascular invasion or hemorrhage within the lesion.

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Correct Answer is B

Explanation

This is because the recommended tidal volume for mechanical ventilation is 6 to 8 mL/kg of ideal body weight. Therefore, for a client who has an ideal weight of 60 kg, the tidal volume should be between 360 and 480 mL. A tidal volume that is too high or too low can cause lung injury or hypoventilation.

A. Tinnitus B. Respiratory depression C. Nystagmus D. Clay colored stools

Correct Answer is A

Explanation

This is because aspirin can cause salicylate toxicity, which can manifest as tinnitus, hearing loss, vertigo, headache, confusion, and hyperventilation. The nurse should monitor the client's serum salicylate level and advise the client to report any signs of toxicity to the provider.

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A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg. The nurse should expect the tidal volume to be set at which of the following?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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

A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?

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?

A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include?

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply.)

Exhibits A nurse in a community health clinic is caring for a client who has a history of HIV. For each of the following assessment findings for the client, identify if the finding is consistent with HIV stage I or HIV stage III (AIDS). Each finding may support more than one disease process.

A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area (TBSA)?