Question

In: Nursing

A nurse is caring for a client who has malignant melanoma, which of the following findings...

A nurse is caring for a client who has malignant melanoma, which of the following findings should the nurse expect when assessing the lesion

A: purplish in color

B: purulent drainage

C: pruritus

D: pain

A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood product should anticipate administering to this client

A: cryoprecipitates

B: albumin

C: platelets

D: packed RBCs

Expert Solution

pruritis is the answer.

malignant melanoma is a neoplasm of melanocytes, which is a pigment producing cell .

it occur in skin , but rarely can occur in mouth, intestine , eye ..

primary cause of melanoma is ultraviolet light exposure in those with low levels of skin pigment melanin.

those with many moles , history of same disease in family , poor immune function , genetic disease like xeroderma pigmentosa are at greater risk of developing disease .

diagnosis by biopsy of suspected lesion

changes in preexisting moles that indicates melanomas include increase in size(more than 6 mm ) , irregular margins , change in colour(usualy black or brown , sometime pink or tan ) , itching (pruritis) , skin breaking

so here the nurse should take care of patient complaining of itching in the skin lesion .

2. answer is packed RBC

in a patient with hypovolumic shock . replacement of fluids using crystaloid like normal saline , ringer lactate .. is mainstay of managment.

packed RBC can be also used in hypovolumic shock occuring following blood loss more than or equal to 10 % of total blood volume .

also in patients having refractory shock despites adequate fluid adminstration and declining hematocrite.

platlet transfusion in case of prolonged shock with coagulopathy and abnormal coagulogram .

in case of systemic massive bleeding , platlet transfusion may be needed in addition to RBC transfusion

cryoprecipitate is given in patient with coagulopathy with bleeding

albumin is used to prevent low blood volume , low blood pressure , replace albumin in people with low albumin

Nightingale answered 2 years ago

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