The nurse is teaching a client about seeking medical attention for suspected melanoma skin cancer lesions. The client would demonstrate to the nurse an understanding of teaching by stating "1 will seek medical attention if the mole has:
single color throughout
diameter smaller than 2mm.
has uneven or irregular borders.
Is symmetrical in shape."
The Correct Answer is C
A) Single color throughout:
A mole that is a single, consistent color is typically not a concern for melanoma. However, one of the key warning signs of melanoma is a mole that has multiple colors or shades, such as tan, brown, black, or even red or blue. The presence of more than one color in a mole can indicate melanoma, and the client should be advised to seek medical attention if the mole has varied colors.
B) Diameter smaller than 2mm:
A mole that is smaller than 2mm in diameter is typically not a concern for melanoma. Melanomas are often larger than 6mm in diameter, about the size of a pencil eraser, though smaller melanomas can also occur. A mole smaller than 2mm is usually considered benign, but any change in size, shape, or color, regardless of the starting size, should be evaluated.
C) Has uneven or irregular borders:
One of the primary warning signs of melanoma is the presence of irregular or uneven borders on a mole. Normal moles typically have smooth, even borders, while moles with jagged, blurred, or irregular edges are more likely to be melanoma. The client should seek medical attention if they notice any moles with irregular borders, as this could be a sign of malignancy.
D) Is symmetrical in shape:
A mole that is symmetrical (both halves are the same size and shape) is generally not a concern for melanoma. In contrast, asymmetry (when one half of the mole does not match the other half) is a key warning sign for melanoma. A mole that lacks symmetry should be evaluated by a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["90"]
Explanation
Given:
Ordered dose of Alteplase: 0.9 mg/kg
Client weight: 220 pounds
Step 1: Convert the client's weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Client weight in kg = 220 lbs x 0.453592 kg/lb = 99.76824 kg
Step 2: Calculate the total dose of Alteplase:
Total dose (mg) = Ordered dose (mg/kg) xClient weight (kg)
Total dose (mg) = 0.9 mg/kg x 99.76824 kg
Total dose (mg) = 89.801416 mg
Step 3: Round to the nearest whole number:
Total dose (mg) ≈ 90 mg
Correct Answer is ["13.7"]
Explanation
Given:
Ordered dose of Furosemide: 1 mg/kg
Patient weight: 121 lbs
Concentration of Furosemide: 40 mg/10 mL (4 mg/mL)
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 121 lbs x 0.453592 kg/lb = 54.877832 kg
Step 2: Calculate the total dose of Furosemide:
Total dose (mg) = Ordered dose (mg/kg) x Patient weight (kg)
Total dose (mg) = 1 mg/kg x 54.877832 kg
Total dose (mg) = 54.877832 mg
Step 3: Calculate the volume to be administered:
Volume (mL) = Total dose (mg) / Concentration (mg/mL)
Volume (mL) = 54.877832 mg / 4 mg/mL
Volume (mL) = 13.719458 mL
Step 4: Round to the nearest tenth:
Volume (mL) ≈ 13.7 mL
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