A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past. What is the best response by the nurse?

A) Tell the patient to watch the lesion and report back in 2 months.
B) Refer the patient because of the suggestion of melanoma on the basis of her symptoms.
C) Ask additional questions regarding environmental irritants that may have caused this condition.
D) Tell the patient that these signs suggest a compound nevus, which is very common in young to middle-aged adults.

A child is upset because when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. Which should the nurse suggest to remove this material?

A) Soak in a bathtub.
B) Vigorously scrub leg.
C) Apply powder to absorb material.
D) Carefully pick material off leg.

When changing a diaper,the nurse observes that a 2-day-old infant has passed a green-black,tarry stool.What should the nurse do?

A) Notify the provider immediately.
B) Do nothing; this is normal.
C) Give the baby sterile water until the mother's milk comes in.
D) Apply a skin barrier cream to the buttocks to prevent irritation.

The patient shows the necessary defining characteristics,and the nurse has diagnosed Decisional Conflict related to unclear personal values and beliefs.What essential action should the nurse take to help ensure the accuracy of this diagnosis?

A) Ask a more experienced nurse to confirm it.
B) Request a social worker interview the patient.
C) Ask the patient to confirm the diagnosis.
D) Read about Decisional Conflict in the NANDA-I handbook.

When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. How should this question be considered?

A) Unnecessary information because child is age 3 years
B) An important part of the family history
C) An important part of the child's past history
D) An important part of the child's review of systems

A patient has an acute intravascular hemolytic reaction to a blood transfusion. After discontinuing the blood transfusion, which is the nurse's next action?

A) Discontinue the IV catheter.
B) Return the blood to the blood bank.
C) Run normal saline through the existing tubing.
D) Start normal saline at TKO rate using new tubing.

Which term is called prickly heat and is commonly seen in newborns and/or infants?

A) impetigo
B) roseola
C) miliaria
D) psoriasis