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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Dependent rubor, a reddish coloration of the skin that occurs when the legs are in a dependent position, can be a sign of PAD, indicating poor arterial flow.

Choice B reason: Foot ulcers may occur in individuals with PAD due to poor blood circulation and the inability of sores or injuries to heal properly.

Choice C reason: Rest pain is a symptom of advanced PAD and occurs due to insufficient blood flow to the limbs even at rest, often worsening at night when the legs are elevated.

Choice D reason: Intermittent claudication, characterized by pain and cramping in the legs during exercise that disappears after rest, is a hallmark symptom of PAD and results from inadequate blood flow during increased activity.

A. Drink 2 liters of fluid each day while taking the medication. B. Take a 650 milligram dose of aspirin for joint pain. C. Take the medication on an empty stomach. D. Do not crush the medication before taking it.

Correct Answer is A

Explanation

Choice A reason: This is correct because staying well hydrated can help prevent gout attacks and kidney stones, which can be a side effect of allopurinol.

Choice B reason: This is incorrect. Aspirin can interfere with allopurinol and may increase the risk of gout attacks; therefore, it is not recommended without consulting a healthcare provider.

Choice C reason: This is incorrect. Allopurinol does not need to be taken on an empty stomach; it can be taken with or without food.

Choice D reason: This is correct. Allopurinol should not be crushed or chewed; it should be swallowed whole.

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A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the client?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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