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 B

Explanation

A. Inserting an oral airway and suctioning may be indicated for airway management, but the primary concern is the impaired function of the glossopharyngeal and vagus nerves, which affects swallowing and the risk of aspiration.
B. Withholding oral fluids or foods is crucial because impaired function of these cranial nerves increases the risk of aspiration and can lead to choking or pneumonia, making this the priority action.
C. Speaking clearly while facing the client is a good communication practice but does not address the immediate concern of impaired swallowing and risk of aspiration.
D. Applying artificial tears is important for protecting the cornea, but it is not directly related to the functions of CN IX and CN X or the immediate management of swallowing difficulties.

A. Encourage client to rinse the mouth twice a day with mouthwash B. Encourage client to perform mouth care before and after every meal C. Offer the client 3 meals per day with a snack at bedtime D. Assess the client's oral pain level once a shift

Correct Answer is B

Explanation

A. Rinsing the mouth with mouthwash is not sufficient for managing oral lesions, and some mouthwashes may contain alcohol that can further irritate the lesions; therefore, this intervention is inadequate.
B. Performing mouth care before and after every meal can help minimize discomfort, remove debris, and maintain oral hygiene, which is crucial for someone with painful oral lesions to encourage better nutritional intake.
C. Offering three meals with a bedtime snack may not be effective if the client is unable to eat comfortably; focusing on smaller, more frequent meals or nutrient-dense options may be more beneficial.
D. While assessing oral pain is important, it should occur more frequently than once per shift to ensure ongoing management and adjustment of care based on the client’s comfort and needs.

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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

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Correct Answer is B

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Correct Answer is B

Explanation

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