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 D
Explanation
Choice A reason: Maple syrup, while a source of energy, is not rich in iron or vitamins that can significantly contribute to increasing hemoglobin levels.
Choice B reason: Carrots are a good source of beta-carotene and fiber but are not particularly high in iron, which is necessary for increasing hemoglobin levels.
Choice C reason: Orange juice is rich in vitamin C, which can enhance iron absorption, but on its own, it does not contribute significantly to hemoglobin levels.
Choice D reason: Raisins are a good source of iron and can help increase hemoglobin levels. They are also convenient as a snack and can be easily incorporated into the diet.
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