Which areas should the nurse teach a dark-skinned client to inspect regularly for skin cancer like melanoma?
Eyes, ears, lips, and scalp.
Palms, soles and nails.
Head, neck and trunk.
Lower legs and back.
The Correct Answer is B
Palms, soles and nails.
Melanoma is a type of skin cancer that can develop in any color skin, including dark or black skin.
However, melanoma on dark skin is not related to sun exposure and can start in places that get little sun. That includes the palms of your hands, soles of your feet, nails, and inside your mouth, anal, and genital areas.
Choice A is wrong because eyes, ears, lips, and scalp are not common areas for melanoma in people of color.
Choice C is wrong because head, neck and trunk are more likely to be affected by sun exposure and other types of skin cancer than melanoma in people of color.
Choice D is wrong because lower legs and back are also more exposed to sun and other types of skin cancer than melanoma in people of color.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["E"]
Explanation
A private room with negative air pressure is required to care for a client with suspected or confirmed tuberculosis (TB) disease, as this is part of the airborne precautions recommended by the CDC.
A private room with negative air pressure prevents the spread of infectious droplet nuclei that contain the TB bacteria.
Choice A is wrong because gloves, masks, and gowns are not sufficient to protect against TB transmission.
Gloves and gowns are used for contact precautions, which are not indicated for TB.
A regular mask is also not effective in filtering out the small droplet nuclei that carry the TB bacteria.
Choice B is wrong because an N95 mask is not a precaution for the client, but for the healthcare personnel who are in close contact with the client.
An N95 mask is a type of respirator that can filter out at least 95% of airborne particles, including TB bacteria. Health care personnel should wear an N95 mask when entering the client’s room or performing aerosol-generating procedures on the client.
Choice C is wrong because droplet precautions are not indicated for TB.
Droplet precautions are used for infections that are spread by large respiratory droplets that do not remain suspended in the air, such as influenza or pertussis. Droplet precautions require wearing a regular mask and eye protection when within 6 feet of the client.
Choice D is wrong because contact precautions are not indicated for TB.
Contact precautions are used for infections that are spread by direct or indirect contact with the client or the client’s environment, such as Clostridium difficile or MRSA. Contact
Correct Answer is C
Explanation
Just prior to the next scheduled dose. A trough level is the lowest concentration of a drug in the blood, and it is measured just before the next dose is due to be administered.
This helps to ensure that the drug level does not fall below the therapeutic range or rise above the toxic range.
Choice A is wrong because every morning at 08:00 AM (0800) is not a consistent time interval for a drug that is administered every twenty-four hours.
The trough level should be measured at the same time before each dose.
Choice B is wrong because halfway between next scheduled dose is not a trough level, but a midpoint level.
This does not reflect the lowest concentration of the drug in the blood.
Choice D is wrong because two hours after a scheduled dose is not a trough level, but a peak level. This is the highest concentration of the drug in the blood, and it is measured after the drug has been absorbed and distributed. Peak levels are no longer routinely recommended for vancomycin.
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