Nokea
The client is admitted to the outpatient surgery center for removal of a malignant melanoma. Which assessment data indicate the lesion is a malignant melanoma?
- A. The lesion is asymmetrical and has irregular borders.
- B. The lesion has a waxy appearance with pearlike borders.
- C. The lesion has a thickened and scaly appearance.
- D. The lesion appeared as a thickened area after an injury.
Correct Answer: A
Rationale: Asymmetry and irregular borders (ABCD criteria) characterize malignant melanoma. Waxy, scaly, or post-injury lesions suggest other conditions.
You may also like to solve these questions
The client with full-thickness burns to 40% of the body, including both legs, is being transferred from a community hospital to a burn center. Which measure should be instituted before the transfer?
- A. A 22-gauge intravenous line with normal saline infusing.
- B. Wounds covered with moist sterile dressings.
- C. No intravenous pain medication.
- D. Ensure adequate peripheral circulation to both feet.
Correct Answer: D
Rationale: Ensuring peripheral circulation prevents ischemic complications during transfer. A 22-gauge IV is too small for major burns, moist dressings are inappropriate for full-thickness burns, and IV pain medication is needed.
The nurse is caring for a male client diagnosed with folliculitis barbae. Which information should the nurse teach to prevent a reoccurrence?
- A. Tell the client to not shave the face.
- B. Instruct the client to rub on astringent aftershave lotion.
- C. Recommend the client apply hot packs for 20 minutes before shaving.
- D. Teach the client to use an antibacterial soap on the face.
Correct Answer: D
Rationale: Antibacterial soap reduces bacterial load, preventing folliculitis barbae. Not shaving is impractical, astringents irritate, and hot packs are less effective.
It is most appropriate for the nurse to monitor a client for which potential problem?
- A. Infection
- B. Hyperthermia
- C. Depression
- D. Malnutrition
Correct Answer: A
Rationale: Open exposure increases infection risk due to exposed tissue.
When the nurse assesses the client's operative eye after surgery, which finding is most expected?
- A. The pupil appears cloudy and gray.
- B. The pupil is a fixed size and shape.
- C. The entire iris lacks color.
- D. A section of the iris appears black.
Correct Answer: B
Rationale: An iridectomy creates a fixed pupil opening to relieve pressure.
Which area of health teaching is essential when a female client is prescribed isotretinoin (Accutane)?
- A. Breast self-examination techniques
- B. Techniques for avoiding pregnancy
- C. Methods for predicting ovulation
- D. Information on preventing sexual transmission
Correct Answer: B
Rationale: Isotretinoin is teratogenic, requiring strict pregnancy prevention.