A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse identify as an indication of melanoma?

Scaly lesion with a crusted appearance

Raised lesion with a rolled border

Reddened lesion with dilated blood vessels

Flat lesion with irregular borders

Answer and Explanation

The Correct Answer is D

A flat lesion with irregular borders is one of the signs of melanoma, a type of skin cancer that arises from melanocytes, the cells that produce pigment. Other signs of melanoma include asymmetry, color variation, diameter greater than 6 mm, and evolution or change over time. The other options are more characteristic of other types of skin cancer or benign lesions.

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Correct Answer is C

Explanation

Palpating the site for a thrill is an important action to assess the patency and function of an arteriovenous graft, which is a synthetic tube that connects an artery and a vein for hemodialysis access. A thrill is a vibration felt over the graft that indicates blood flow. The other options are incorrect because they could compromise or damage the graft.

A. Contact the client's power of attorney to sign the consent. B. Inform a family member of the need to sign the consent. C. Notify the surgical team that the client is unable to sign the consent. D. Allow the client to sign the consent with an X

Correct Answer is D

Explanation

Allow the client to sign the consent with an X. The client has the right to give informed consent if they understand the procedure and its risks and benefits, even if they cannot read or write. The nurse should witness and document the client's signature with an X and verify their identity and understanding. The other options are not appropriate because they violate the client's autonomy and dignity.

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A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse identify as an indication of melanoma?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has tuberculosis and is taking rifampin. The client reports that her saliva has turned red-orange in color. Which of the following responses should the nurse make?

A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?

A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect?

A nurse is teaching about measures to prevent recurring urinary tract infections with a female client. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who has developed a heart rate of 38/min and reports tremors and feeling faint. Which of the following medications should the nurse anticipate administering?

A nurse in an emergency department is caring for a client who has sinus bradycardia. Which of the following actions should the nurse take first?

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