A nurse is providing teaching to a client who has melanoma. Which of the following information should the nurse include?
Radiation therapy is the primary method of treatment for melanoma.
Metastasis occurs in the deeper levels of skin tissue before it extends outward.
There are no specific genetic mutations that cause melanoma.
Melanoma is highly metastatic and requires early diagnosis and treatment.
The Correct Answer is D
Choice A rationale:
Radiation therapy is not typically the primary method of treatment for melanoma. Surgical excision and other therapies are often utilized.
Choice B rationale:
Metastasis in melanoma generally occurs from the outer layers of the skin to deeper levels and eventually to other parts of the body.
Choice C rationale:
Specific genetic mutations, such as mutations in the BRAF gene, are associated with an increased risk of developing melanoma.
Choice D rationale: Melanoma is a highly metastatic form of skin cancer that can spread quickly to other parts of the body. Early diagnosis and treatment are crucial to improve outcomes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Aspirin might increase the risk of bleeding, which is a concern during chemotherapy.
Choice B rationale:
Fiber intake should be increased to prevent constipation caused by chemotherapy.
Choice C rationale:
Applying heat to bruised areas might increase bleeding risk.
Choice D rationale:
Chemotherapy can lead to constipation, so taking a stool softenercan help prevent this side effect.
Correct Answer is D
Explanation
- Rationale for Choice A: Pulmonary hygiene is important for preventing pneumonia, especially in bedridden clients. However, it is not specific to the care of a client with leukemia unless they have a respiratory complication which necessitates such an intervention.
- Rationale for Choice B: Airborne precautions are typically used for clients who have infections that can be transmitted through the air, such as tuberculosis. Leukemia does not require airborne precautions unless the client has a coexisting airborne infection.
- Rationale for Choice C: Regular turning of the client can help prevent pressure ulcers and is a good practice for any bedridden patient. However, the use of powder is controversial as it can cake and lead to skin breakdown, and is not specifically indicated for leukemia care.
- Rationale for Choice D: Assessing the client's urine for odor and cloudiness is an important part of care for clients with leukemia. They are at increased risk for urinary tract infections due to immunosuppression, and changes in urine can indicate an infection that needs prompt treatment.
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