A nurse is collecting data from a client who reports finding a new skin lesion. Which of the following actions is the nurse's priority?

Document the client's history of skin allergies.

Photograph the lesion for the client's medical record.

Identify when the client first noticed the lesion.

Instruct the client on the use of daily sunscreen products.

Answer and Explanation

The Correct Answer is C

A.   Document the client's history of skin allergies: While important for the client's overall care, documenting the history of skin allergies is not the priority when assessing a new skin lesion.
B.   Photograph the lesion for the client's medical record: Documenting the appearance of the lesion is important for the client's medical record, but it is not the priority when initially assessing the lesion.
C.   Identify when the client first noticed the lesion: The priority is to gather information about the onset and characteristics of the lesion to determine its potential severity and urgency of intervention.
D.   Instruct the client on the use of daily sunscreen products: While sun protection is important for skin health, it is not the priority when assessing a new skin lesion.

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Correct Answer is B

Explanation

A. Dry, occasional cough: A dry, occasional cough is a common symptom of upper respiratory infections and may not necessarily indicate a complication.
B. Temperature or Febrile 103 degrees F (39.4 degrees C): A high fever (over 100.4 degrees F or 38 degrees C) is a concerning symptom that may indicate the development of a complication such as pneumonia or a secondary bacterial infection.
C. Clear, watery drainage from the nose: Clear, watery drainage from the nose is typically associated with viral upper respiratory infections and may not necessarily indicate a complication.
D. Scratchy throat: A scratchy throat is a common symptom of upper respiratory infections and may not necessarily indicate a complication.

A. Phlebotomist B. Centers for Disease Control and Prevention C. Local Fire and Ambulance department D. World Health Organization (WHO) E. American Nurses Association (ANA)

Correct Answer is ["B","D"]

Explanation

A. A phlebotomist is a technician specialized in drawing blood and does not play a role in identifying community health issues.
B. The Centers for Disease Control and Prevention (CDC) is a national public health agency that provides crucial data, research, and resources to address community health concerns and prevent pandemics.
C. The local fire and ambulance department primarily provides emergency services and is not focused on broader community health issues.
D. The World Health Organization (WHO) is an international public health agency that works to coordinate responses to health crises and identify global health trends, making it vital in addressing community health issues.
E. The American Nurses Association (ANA) supports nurses but does not primarily focus on identifying community health issues at the population level like the CDC or WHO.

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A nurse is collecting data from a client who reports finding a new skin lesion. Which of the following actions is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

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