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: This set of values is indicative of metabolic acidosis with respiratory compensation, which is common in chronic kidney disease due to the accumulation of acids in the blood and the lungs' attempt to compensate by retaining CO2.
Choice B reason: This choice suggests respiratory alkalosis, which is less likely in chronic kidney disease unless there is a secondary respiratory condition causing hyperventilation.
Choice C reason: This choice indicates metabolic alkalosis, which is not typical for chronic kidney disease, as the kidneys are unable to excrete acid effectively.
Choice D reason: While this set of values does indicate acidosis, the expected compensatory response in chronic kidney disease would be an elevated PaCO2, not a normal or low value.
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because an oral cholangiogram does not involve putting a camera down the throat. That procedure is more akin to an endoscopy.
Choice B reason: This statement is correct. An oral cholangiogram involves taking an Xray examination of the gallbladder after the patient has taken an iodine based contrast agent orally. The procedure is used to diagnose problems related to the gallbladder, such as gallstones or issues with bile flow.
Choice C reason: This choice is incorrect because an oral cholangiogram does not involve putting medication into the gallbladder to dissolve stones. That description is more consistent with nonsurgical treatments for gallstones, such as oral bile acid pills.
Choice D reason: This choice is incorrect as it describes a different procedure known as extracorporeal shock wave lithotripsy (ESWL), which uses shock waves to break up gallstones.
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