A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?
Painless, raised purple nodules on the hard palate.
A small macule with a yellow-brown scale.
A firm nodule with a hard crust.
Yellow white patches of growth on the tongue.
The Correct Answer is C
Choice A reason: This choice is incorrect as painless, raised purple nodules on the hard palate are not typically indicative of squamous cell carcinoma.
Choice B reason: This choice is incorrect because a small macule with a yellow-brown scale does not describe squamous cell carcinoma, which often presents as a firm nodule with a scaly crust.
Choice C reason: This choice is correct. Squamous cell carcinoma can present as a firm nodule with a hard, scaly crust on the skin.
Choice D reason: Yellow white patches of growth on the tongue are more indicative of conditions such as oral leukoplakia, not squamous cell carcinoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Weight bearing exercises, such as walking, jogging, and dancing, are beneficial for building and maintaining bone density. These activities force the body to work against gravity, stimulating bone formation and slowing bone loss.
Choice B reason: While bone density scans are useful for diagnosing osteoporosis, they are not typically used as a preventive measure but rather as a diagnostic tool to assess bone health.
Choice C reason: Drinking coffee in moderation is not directly related to preventing osteoporosis. Excessive caffeine intake can interfere with calcium absorption, but a single cup is unlikely to have a significant impact.
Choice D reason: Increasing sodium intake is not recommended as it can lead to calcium loss through urine, which is counterproductive for bone health.
Correct Answer is C
Explanation
Choice A reason: Fatigue is a common symptom of ITP but is not the primary concern for monitoring, as it does not directly indicate the severity of the condition.
Choice B reason: While monitoring for side effects of immunosuppressants is important, it is not the priority concern. The primary issue in ITP is the low platelet count, which poses a risk of bleeding.
Choice C reason: Thrombocytopenia, or low platelet count, is the hallmark of ITP and the main concern for monitoring, as it increases the risk of bleeding and bruising.
Choice D reason: Infection is a risk due to the potential use of immunosuppressants in treatment; however, the immediate concern in ITP management is the platelet count and associated bleeding risk.
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