While bathing an 82 y.o. man hospitalized with pneumonia, a nurse notes an ulcerated area on his penis. What action should the nurse take first?

Correct Answer: A

Rationale: The nurse should report the ulcer to the admitting care provider as the first action. An ulcerated area on the penis in an older adult may be indicative of various serious conditions, such as sexually transmitted infections (STIs) or skin breakdown. It is important for the healthcare provider to assess the ulcer, determine the cause, and initiate appropriate treatment. Reporting the finding promptly ensures timely intervention and appropriate management of the patient's condition. This initial action takes priority over teaching about STD prevention or inquiring about the patient's history of syphilis. Cleaning the ulcer without proper assessment and diagnosis by a healthcare provider can potentially worsen the patient's condition.

Correct Answer: A

Rationale: Marasmus is a form of severe malnutrition characterized by a significant deficiency in calories and protein intake. Symptoms of marasmus include severe wasting of muscle and fat stores, giving the appearance of loose, wrinkled skin due to the loss of subcutaneous fat. Other symptoms may include lethargy, irritability, delayed growth and development, and weakened immune function. Edematous skin is more commonly associated with kwashiorkor, another form of severe malnutrition characterized by protein deficiency with adequate caloric intake. Depigmentation of the skin and dermatoses are not typical symptoms of marasmus.

Correct Answer: C

Rationale: Lean red meats are a great source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources. Heme iron from animal products is particularly beneficial for individuals with iron deficiency anemia as it can help increase their iron levels more effectively. In addition to lean red meats, other animal sources of heme iron include poultry and fish.

Correct Answer: A

Rationale: The inv(16) translocation is strongly associated with granulocytic sarcoma in AML.

Correct Answer: D

Rationale: Second malignancy is a rare late effect compared to cognitive and learning impairments.