A nurse is performing a skin assessment on a patient and suspects basal cell carcinoma (BCC). Which of the following findings would support this suspicion?
A rapidly growing, irregular brown lesion with uneven borders
A slow-growing, pearly or waxy nodule with visible blood vessels with central ulceration
A dark, flat lesion with a satellite pattern of spreading pigmentation
A firm, scaly lesion with a rough, honey crusted surface
The Correct Answer is B
A. A rapidly growing, irregular brown lesion with uneven borders. This description is more characteristic of melanoma, which presents as an asymmetrical, dark lesion with irregular borders and rapid growth.
B. A slow-growing, pearly or waxy nodule with visible blood vessels with central ulceration. BCC typically appears as a pearly, waxy nodule with visible telangiectasia (small blood vessels). It grows slowly and may develop a central ulceration over time.
C. A dark, flat lesion with a satellite pattern of spreading pigmentation. This description aligns more with melanoma, which often spreads in a radial pattern with satellite lesions.
D. A firm, scaly lesion with a rough, honey-crusted surface. This description is more consistent with squamous cell carcinoma (SCC), which presents as a rough, scaly lesion that may ulcerate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Obtain a prescription to adjust the weight amount: Adjusting the weight could help relieve muscle spasms, but the nurse should first try non-invasive interventions such as repositioning before requesting a prescription change.
B. Administer an opioid analgesic: Pain medication can help manage discomfort, but it does not address the cause of the muscle spasms. Non-pharmacologic interventions should be attempted first.
C. Realign the client’s position: This is the first action the nurse should take. Incorrect positioning can contribute to muscle spasms, and realignment can often provide immediate relief. This intervention is non-invasive and should be attempted before medication or weight adjustments.
D. Offer a muscle relaxant to the client: Muscle relaxants can be helpful, but they should be considered only after non-pharmacologic measures like repositioning fail.
Correct Answer is B
Explanation
A. "Skeletal traction has less risk for infection than skin traction." Skeletal traction involves pins and has a higher infection risk than skin traction.
B. "Skeletal traction is more appropriate than skin traction for reducing a fracture." Skeletal traction provides stronger and more stable force, making it more appropriate for fracture reduction.
C. "Clients with skin traction have more discomfort than those with skeletal traction." Skeletal traction is usually more painful due to pins inserted into the bone.
D. "Skin traction is primarily used for long-term stabilization of fractures." Skin traction is typically used short-term before surgery.
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