The nurse is caring for a client who is scheduled to have Mohs Micrographic surgery for a basal cell carcinoma. Which statement by the client Indicates a need for further teaching?

"The layers removed are individually examined to determine if additional tissue needs to be removed."

"The surgeon will remove a layer of skin and perform a needle biopsy of the lymph node to assess for tumor spread."

"The tumor is removed in horizontal layers to minimalize removal of healthy tissue."

"This type of procedure removes less healthy tissue and often produces a favorable cosmetic outcome."

Answer and Explanation

The Correct Answer is B

A. This statement is accurate as Mohs surgery involves examining each layer of skin for cancer cells before proceeding with further removal.
B. The client indicates a misunderstanding; Mohs surgery does not typically involve a needle biopsy of the lymph node at the time of the procedure, as it focuses on the local removal of skin cancer.
C. This statement is correct as the goal of Mohs surgery is to remove the cancer while preserving as much healthy tissue as possible.
D. This statement is also true as Mohs surgery is designed to minimize healthy tissue removal, often resulting in better cosmetic outcomes

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Correct Answer is C

Explanation

A. This statement may not be ideal; smaller, more frequent meals can help manage appetite and energy levels better than three large meals, especially for cancer patients who may experience fatigue or nausea.
B. A flat lying position can hinder lung expansion; a more elevated position is generally recommended to facilitate breathing.
C. This statement shows understanding of the need to manage energy levels and not overexert oneself, which is crucial for maintaining stamina during treatment.
D. Pain management typically requires more frequent dosing rather than a once-a-day regimen, depending on the severity of the pain.

A. Request a prescription to culture the wound B. Request a prescription for broad spectrum antibiotics C. Assure the client this is normal in the healing process D. Clean the wound with sterile normal saline

Correct Answer is A

Explanation

A. Requesting a prescription to culture the wound is the priority action because the presence of redness, warmth, and serosanguinous drainage could indicate an infection that needs to be confirmed and treated appropriately.
B. While antibiotics may be necessary if an infection is confirmed, it is crucial to first determine the presence of infection through culturing the wound.
C. Assuring the client that these findings are normal may delay necessary intervention if an infection is present, which could worsen the client's condition.
D. Cleaning the wound with sterile normal saline may be appropriate as part of wound care, but it does not address the underlying concern of possible infection and would not be prioritized over obtaining a culture.

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The nurse is caring for a client who is scheduled to have Mohs Micrographic surgery for a basal cell carcinoma. Which statement by the client Indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client was recently diagnosed with lung cancer. The nurse is evaluating discharge teaching with the client. Which statement about lung cancer indicates that teaching was effective?

Correct Answer is C

Explanation

The nurse is assessing a client who had a surgical excision of a basal cell carcinoma one week ago. Assessment findings include redness, warmth, and serosanguinous drainage from the site. What would be the priority action by the nurse?

Correct Answer is A

Explanation

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