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The nurse educates a community group regarding measures that will assist in the prevention of skin cancer. Which of the following statements addresses the need for further teaching? "I will:

A.

use sunscreen while playing sports.

B.

examine my body every month for suspicious lesions.

C.

decrease use of a tanning bed to twice a month.

D.

wear a hat and sunglasses when in the sun.

Answer and Explanation

The Correct Answer is C

A. Using sunscreen while playing sports is an important measure to protect the skin from harmful UV radiation, which contributes to skin cancer; therefore, this statement indicates proper understanding.  

 

B. Monthly self-examinations for suspicious lesions are recommended as part of early detection strategies for skin cancer, demonstrating a proactive approach to skin health.  

 

C. Decreasing the use of a tanning bed to twice a month still poses a significant risk for skin damage and cancer, as tanning beds expose the skin to high levels of UV radiation. This statement indicates a lack of understanding of the dangers associated with artificial tanning.  

 

D. Wearing a hat and sunglasses while in the sun is an effective strategy for minimizing sun exposure to sensitive areas, protecting the skin and eyes from UV rays, indicating proper sun safety practices.  


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Correct Answer is A

Explanation

A. Stage IV pancreatic cancer often leads to bile duct obstruction, causing decreased bile flow into the intestines. This results in clay-colored stools due to the absence of bile pigments.

B. Hematuria, or blood in the urine, is not a common symptom of pancreatic cancer, even in advanced stages. It is more associated with conditions affecting the urinary system.

C. Jaundice causes dark, concentrated urine rather than pale, dilute urine due to the accumulation of bilirubin in the bloodstream, which is excreted through the kidneys.

D. Weight loss, rather than weight gain, is a common manifestation in clients with advanced pancreatic cancer due to malabsorption and cachexia.

Correct Answer is B

Explanation

A. Measuring abdominal girth may be relevant for assessing potential complications like abdominal distention, but it is not the immediate priority in response to serosanguinous drainage from the nasogastric tube.

B. Continuing to monitor the drainage is appropriate, as serosanguinous fluid is common immediately after surgery and may gradually change as healing progresses. Monitoring allows for the identification of any changes that may require further intervention.

C. Notifying the physician may be necessary if the drainage increases or changes significantly, but immediate action is to observe and assess the drainage trend.

D. Irrigating the nasogastric tube is not warranted unless there is an obstruction or significant change in the drainage; it should only be done based on specific orders or protocols.

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