A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should the nurse ask first?

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Question 1 of 5

A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should the nurse ask first?

Correct Answer: D

Rationale: Certain drugs such as aspirin, warfarin, and corticosteroids can lead to easy or excessive bruising, which can result in ecchymosis. The other options would not provide information about bruising.

Question 2 of 5

The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by autocontamination?

Correct Answer: B

Rationale: Changing gloves between wound care on different body parts prevents autocontamination.

Question 3 of 5

Which action is a priority during the resuscitation phase for a client with burn injuries?

Correct Answer: C

Rationale: Fluid replacement is a priority to support circulation and organ perfusion during resuscitation.

Question 4 of 5

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

Correct Answer: D

Rationale: BCC is frequently associated with sun exposure and preventive measures should be taken for future sun exposure. BCC spreads locally, and does not metastasize to distant tissues. Since BCC can cause local tissue destruction, treatment is indicated. Local (not systemic) chemotherapy may be used to treat BCC.

Question 5 of 5

There is one opening in the schedule at the dermatology clinic, and 4 patients are seeking appointments today. Which patient will the nurse schedule for the available opening?

Correct Answer: A

Rationale: The description of the lesion is consistent with possible malignant melanoma. This patient should be assessed as soon as possible by the health care provider. Itching is common after using topical fluorouracil and redness is an expected finding a few days after a chemical peel. Skin tags are common, benign lesions after midlife.

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