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 C

Explanation

The correct answer is choiceC. “I will follow a daily diet high in calories and protein.”

Choice A rationale:

Inhaling slowly through pursed lips is incorrect.The correct technique is toexhaleslowly through pursed lips, which helps to keep the airways open longer, allowing for better air exchange and reducing shortness of breath.

Choice B rationale:

Lying on the stomach to practice abdominal breathing is not a recommended strategy for managing emphysema.Abdominal or diaphragmatic breathing can be beneficial, but it is typically practiced in a comfortable, upright position.

Choice C rationale:

Clients with emphysema often have an increased caloric demand due to the effort required to breathe. A diet high in calories and protein can help maintain energy levels and prevent muscle wasting.

Choice D rationale:

Avoiding a flu shot is incorrect.Patients with emphysema are at higher risk for respiratory infections, and getting an annual flu shot is crucial to prevent complications.

A. Dietary modifications occur during pregnancy when taking this medication. B. The client can breast feed when taking this medication. C. Dosage of the medication will be reduced during pregnancy. D. The medication should be discontinued 3 months prior to a planned pregnancy.

Correct Answer is D

Explanation

Methotrexate is a medication that interferes with cell division and can cause birth defects or miscarriage if taken during pregnancy. The medication can also pass into breast milk and harm the baby. Therefore, the nurse should advisethe client to stop taking methotrexate at least 3 months before trying to conceive and to use effective contraception while on the medication.

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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 teaching a client who has emphysema about self-management strategies. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?

Correct Answer is D

Explanation

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)?

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

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?

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?

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A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?