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 B
Explanation
Choice A reason: A decreased neutrophil count is not typically associated with parasitic infections. Neutrophils are a type of white blood cell that responds to bacterial infections, so a decrease might be seen in viral infections or certain inflammatory conditions, but not specifically indicative of a parasitic infection.
Choice B reason: An elevated eosinophil count is often associated with parasitic infections, especially those involving tissue invasion. Eosinophils are white blood cells that play a crucial role in the immune response against parasitic infections. Normal eosinophil counts range from 0 to 500 cells per microliter of blood.
Choice C reason: An increased hemoglobin level is generally not related to the presence of a parasitic infection. Hemoglobin levels can be affected by various conditions, but they do not serve as a specific indicator for parasitic infections.
Choice D reason: An elevated platelet count can occur in various conditions, including inflammatory states and infections, but it is not a specific marker for parasitic infections. Platelets are components of blood that help with clotting and would not be used to differentiate between bacterial and parasitic infections.
Correct Answer is C
Explanation
Choice A reason: Metabolic acidosis is characterized by a low pH and a low HCO3. However, George's HCO3 is within normal range, indicating that metabolic acidosis is not the primary issue.
Choice B reason: Partially compensated metabolic acidosis would present with a low pH and a low HCO3, along with a low PaCO2 as the body attempts to compensate. George's PaCO2 is elevated, which is not consistent with this condition.
Choice C reason: George's high PaCO2 and near normal HCO3 suggest that his primary issue is respiratory acidosis. The body has begun to compensate by retaining HCO3, making it partially compensated.
Choice D reason: Uncompensated respiratory acidosis would present with an elevated PaCO2 and a normal HCO3. Since George's HCO3 is elevated, it indicates partial compensation.
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