ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 65 Questions
Question 1 of 5
A client has been diagnosed with melanoma. What treatment option can the nurse expect will be used?
Correct Answer: B
Rationale: The treatment of a melanoma involves radical excision of the tumor and adjacent tissues, followed by chemotherapy. Laser surgery and cryosurgery are not used in the treatment of melanoma. Radiation is used in some types of cancer.
Question 2 of 5
The nurse is caring for a client in need of a blood transfusion. The client's family member wants to be considered to donate blood. The nurse notes that the family member has several tattoos and asks the family member when and where the last tattoo was obtained. If the family member obtained the last tattoo on February 14, 2021, in a state that does not regulate tattoo facilities, after which date would the family member be eligible to donate blood?
Correct Answer: B
Rationale: The American Red Cross (2021) rejects potential blood donors who have received a tattoo within 3 months if the tattoo was applied in a state that does not regulate tattoo facilities.
Therefore, the earliest that the client's family member would be able to give blood is May 14, 2021. Two weeks, 1 month, and 2 months are insufficient amounts of time to wait after receiving a tattoo in a state that does not regulate tattoo facilities.
Question 3 of 5
The nurse is providing instruction to a client newly diagnosed with herpes zoster. Which two medications does the nurse anticipate to reduce pain and severity of disease symptoms?
Correct Answer: A
Rationale: The nurse is correct to instruct the client that medications prescribed to care for an outbreak of shingles include acyclovir (most frequently prescribed medication for shingles) and prednisone, a corticosteroid. Oral acyclovir, when taken within 48 hours of the appearance of symptoms, reduces the severity and prevents the development of additional lesions. Also, a brief course of corticosteroids reduces pain. Additional treatments include antipruritic and analgesic medications but are not as important as the acyclovir.
Question 4 of 5
A client recently received lip and tongue piercings and subsequently developed a superinfection of candidiasis from the antibacterial mouthwash. What would the nurse recommend for this client?
Correct Answer: A
Rationale: The client can substitute an antifungal mouthwash or salt water if a superinfection of candidiasis develops from the antibacterial mouthwash. A soft-bristled toothbrush should be used to avoid additional oral injury, but it is not the recommended solution for this problem. After eating, the client should rinse the mouth for 30 to 60 seconds with an antifungal mouthwash or salt water. Moving the jewelry at the piercing area back and forth during washing helps clean the pierced tract but does not solve the problem.
Question 5 of 5
The nurse is caring for a client with a suspicious lesion on the client's head. The lesion is sore and resembles basal cell carcinoma. Which client finding is a risk factor for developing skin cancer?
Correct Answer: B
Rationale: The nurse is correct to identify that the client with androgenetic alopecia or male pattern baldness is at risk for skin cancer. Due to the skin being exposed to the ultraviolet radiation of the sun, the client is at risk for malignant skin changes. Smoking cigarettes is a risk factor for many other types of cancer. Wearing hats and having acne is not a risk factor for skin cancer.