A nurse is reinforcing teaching with a client who has a superficial lesion. A biopsy indicates malignant melanoma. Which of the following treatment choices should the nurse include in the teaching?
Cryosurgery
Radiation therapy
Chemotherapy
Surgical excision
The Correct Answer is D
A. Cryosurgery involves freezing the lesion and is typically used for benign lesions.
Malignant melanoma often requires more extensive treatment.
B. Radiation therapy may be used in certain cases, but surgical excision is often the primary treatment for malignant melanoma.
C. Chemotherapy is not the primary treatment for localized malignant melanoma but may be used for advanced cases or metastatic disease.
D. Surgical excision is the primary treatment for localized malignant melanoma, aiming to remove the tumor along with a margin of normal tissue.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Continuous passive motion (CPM) machines are typically used after joint surgeries, not thoracic surgeries.
B. A chest tube is often used postoperatively after a lobectomy to drain excess air, fluid, or blood from the pleural space.
C. A three-way urethral catheter may be used for urinary drainage, but it is not specific to thoracic surgery.
D. Electroencephalography (EEG) monitoring wires are used for monitoring brain activity and are not typically used in the postoperative care of a client following a lobectomy.
Correct Answer is B
Explanation
A. Disorientation to place is concerning but may not require immediate reporting.
B. Clear fluid draining from the ear may indicate cerebrospinal fluid leakage, which is a serious concern and requires immediate attention.
C. An elevated heart rate may be a response to the fall and should be monitored but may not require immediate reporting.
D. An edematous bruise on the forehead should be monitored but may not require immediate reporting unless there are signs of more serious injury.
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