Of all the following malignant skin cancers, which one is the most common?

Squamous cell carcinoma

Actinic keratosis

Kaposi sarcoma

Melanoma

Answer and Explanation

The Correct Answer is D

Choice A reason: Squamous cell carcinoma is a type of skin cancer that develops from the squamous cells that make up the outer layer of the skin. It usually appears as a scaly, red, or crusty patch or lump that may bleed or ulcerate. It is the second most common type of skin cancer, after basal cell carcinoma, but it is less common than melanoma.

Choice B reason: Actinic keratosis is a skin condition that causes rough, scaly, or crusty patches or spots on the skin that are usually caused by sun exposure. It is not a type of skin cancer, but it is considered a precancerous lesion, as it can sometimes develop into squamous cell carcinoma if left untreated.

Choice C reason: Kaposi sarcoma is a rare type of skin cancer that causes purple, red, or brown patches or nodules on the skin or mucous membranes. It is caused by a virus called human herpesvirus 8 (HHV-8), and it mainly affects people with weakened immune systems, such as those with HIV/AIDS or organ transplants.

Choice D reason: Melanoma is a type of skin cancer that develops from the melanocytes, the cells that produce the pigment melanin that gives the skin its color. It usually appears as a mole or a new or changing spot on the skin that may have an irregular shape, color, or border. It is the most common type of skin cancer, and also the most serious, as it can spread to other parts of the body if not detected and treated early.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

Choice A: "Client slept throughout the night" - Good sleep can be an indicator of effective pain management. Pain can disrupt sleep, so if the client is sleeping well, it may suggest that their pain is being effectively managed¹.

Choice B: "Client cooperative during AM care" - If the client is cooperative during care, it may suggest that they are not in significant pain. Uncontrolled pain can make people irritable and uncooperative¹.

Choice C: "Client ate 80% of breakfast, 70% of lunch and 100% of dinner" - Pain can affect appetite. If the client is eating well, it may suggest that their pain is under control¹.

Choice D: "Client winces only when turned and repositioned" - If the client only shows signs of discomfort during movement, it may suggest that their pain is generally well-controlled¹.

Choice E: "Client slept during dressing change" - This is not necessarily an indicator of effective pain management. The client could be sleeping due to fatigue, medication effects, or other reasons unrelated to their pain level¹.

A. Over-the-counter NSAIDs are generally harmless. B. Stool softeners and laxatives should be used with opioids. C. Opioids are less effective in older clients than in younger clients. D. The dose limit for acetaminophen is difficult to reach for older adults. E. None of the above.

Correct Answer is B

Explanation

Choice A reason: Over-the-counter NSAIDs are generally harmless is not a true statement, as NSAIDs can cause serious adverse effects in older adults, such as gastrointestinal bleeding, renal impairment, hypertension, and heart failure. NSAIDs should be used with caution and under medical supervision in older adults.

Choice B reason: Stool softeners and laxatives should be used with opioids is a true statement, as opioids can cause constipation in older adults, which can lead to discomfort, abdominal pain, fecal impaction, and bowel obstruction. Stool softeners and laxatives can help prevent and treat constipation and promote regular bowel movements.

Choice C reason: Opioids are less effective in older clients than in younger clients is not a true statement, as opioids can have the same or even greater analgesic effect in older adults, depending on the dose, route, and duration of administration. However, opioids can also cause more side effects in older adults, such as sedation, confusion, respiratory depression, and falls. Opioids should be used with caution and under medical supervision in older adults.

Choice D reason: The dose limit for acetaminophen is difficult to reach for older adults is not a true statement, as older adults may be more susceptible to acetaminophen toxicity, especially if they have liver disease, malnutrition, or chronic alcohol use. The dose limit for acetaminophen is 4 grams per day for adults, but it may be lower for older adults or those with risk factors. Acetaminophen should be used with caution and under medical supervision in older adults.

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Of all the following malignant skin cancers, which one is the most common?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D"]

Explanation

Which of the following statements is true about analgesic medications for older adults?

Correct Answer is B

Explanation

Which factor is commonly associated with the development of cardiovascular comorbidities for those diagnosed with type 2 diabetes?

Which disorder would the nurse suspect in a patient complaining of intense headaches, bloodshot eyes, and blurred vision? This is considered a medical emergency.

An older adult client had hip replacement surgery 1 day ago, and the nurse thinks that the client is also demonstrating dementia. Which client assessment does the nurse use to determine whether this client is experiencing pain?

The promotion of an adequate fluid balance which prevents medical complications is defined as?

The nurse identifies which of the following interventions in the treatment of fungal infections? (Select all that apply.)

When teaching a client about foods that do not increase blood glucose, which should the nurse include?

Which of the following is a true statement concerning suicide among older adults?