Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?

Screening for metastasis will be important.

Minimizing sun exposure reduces the risk for future BCC.

The treatment plan includes watchful waiting.

Low-dose systemic chemotherapy is used to treat BCC.

Answer and Explanation

The Correct Answer is B

Choice A reason: Screening for metastasis is not typically necessary for BCC because it rarely metastasizes.

Choice B reason: Minimizing sun exposure is crucial in reducing the risk for future BCC, as UV radiation is a significant risk factor.
Choice C reason: Watchful waiting is not a standard treatment plan for BCC; treatment usually involves removal of the lesion.
Choice D reason: Low-dose systemic chemotherapy is generally not used to treat BCC; local treatments such as surgery or topical medications are preferred.

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Correct Answer is A

Explanation

Choice A reason (client care): A client reporting shortness of breath may be experiencing a life-threatening situation that aligns with the ABCs (Airway, Breathing, Circulation) of patient prioritization. This client requires immediate assessment and intervention.

Choice B reason (client care): While discharge is important, it does not take precedence over a client with potential respiratory distress.

Choice C reason (client care): A client who received pain medication 30 minutes ago is likely stable and can be seen after more urgent cases are addressed.

Choice D reason (client care): A client waiting for an abdominal x-ray is not a priority over a client with respiratory issues.

A. Stop the transfusion immediately. B. Inform the provider. C. Call the lab and ask if this is really a transfusion reaction. D. Obtain a urine specimen.

Correct Answer is A

Explanation

Choice A reason: Stopping the transfusion immediately is the first and most critical action in response to signs of a possible transfusion reaction, which can be life-threatening.

Choice B reason: While informing the provider is a necessary step, it should come after stopping the transfusion to prevent further harm to the patient.

Choice C reason: Calling the lab is an appropriate action but not the first priority. The immediate concern is the patient's safety.

Choice D reason: Obtaining a urine specimen may be part of the diagnostic process for a transfusion reaction, but it is not the first action to take.

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Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?

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Naxlex Comprehensive Predictor Exams

A nurse is prioritizing client care after receiving a change-of-shift report. Which of the following clients should the nurse plan to see first?

Correct Answer is A

Explanation

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A recommended position for a patient in acute pulmonary edema is:

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