Alterations in Sensory and Integument

How can you prevent skin cancer?

Avoid going outdoors between 1000 and 1600 Apply SPF 30 minutes before going outside Reapply SPF every 2 hours. SPF 15 or greater

A nurse is teaching a group of clients about skin cancer. The nurse should explain that basal cell carcinoma originates from which of the following tissues? A. Subcutaneous B. Epidermis C. Dermis D. Stratum corneum

B. Epidermis

A community health nurse is teaching a group of clients about malignant melanoma. Which of the following traits places a client at risk for developing malignant melanoma? A. Brown eyes B. Light skin C. Black hair D. Dark skin

B. Light skin

___________ is the most common skin cancer that is the _________ deadly.

Basal cell carcinoma, least

A nurse is teaching a group of young adult clients about health promotion techniques to reduce the risk of skin cancer. Which of the following instructions should the nurse include? A. Apply a broad-spectrum sunscreen 5 min before sun exposure B. Wear a sun visor instead of a hat when outside in the sun C. Avoid exposure to the midday sun D. Use a tanning booth instead of sunbathing outdoors

C. Avoid exposure to the midday sun Rationale: It is advised to avoid the sun between 10 am and 4 pm (10:00- 16:00)

A dermatology clinic nurse uses the ABCDE method while screening several skin lesions for skin cancer on a client. Which of the following findings should the nurse report to the provider? A. Symmetric shape B. Border regularity C. Color variation within a lesion D. Diameter >4 mm

C. Color variation within a lesion

which information should the nurse include in the teaching plan for a patient with basal cell carcinoma? A. Treatment plans include watchful waiting. B. Screening for metastasis will be important C. Minimizing sun exposure reduces risk for future BCC D. Low-dose systemic chemotherapy is used to treat BCC.

C. Minimizing sun exposure reduces risk for future BCC

A nurse is caring for a client who has regular occupational exposure to sunlight and presents for evaluation of several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma? A pearly papule that is 0.5 cm (0.20 in) wide with raised, indistinct borders on the upper right shoulder B. Several flat, pigmented, circumscribed areas of various sizes over the bridge of the nose C. A raised, circumscribed lesion on the face that contains yellow-white purulent material D. An irregularly shaped brown lesion with light blue areas on the neck

D. An irregularly shaped brown lesion with light blue areas on the neck

A community health nurse is teaching a group of clients about melanoma. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching? A. One solid color B. Symmetrical shape C. <6 mm in diameter D. Irregular border

D. Irregular border

A nurse is assessing a client who has a lesion on his skin. Which of the following findings is a clinical manifestation of malignant melanoma? A. Rough, dry, scaly lesion B. Firm nodule with crusting C. Pearly papule with ulcerated center D. Irregularly shaped lesion with blue tones

D. Irregularly shaped lesion with blue tones

A patient with an enlarging, irregular mole that is 7mm in diameter is scheduled for outpatient treatment. The nurse should plan to prepare the patient for which procedure. A. Curettage B. Cryosurgery C. Punch Biopsy D. Surgical excision

D. Surgical excision

An older adult patient with squamous cell carcinoma on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the post-op plan of care? A. Schedule daily appointment changes. B. Describe the use of topical fluorouracil on the incision. C. Instruct how to use a sterile technique to clean to suture line. D. Teach the use of cold packs to reduce bruising and swelling.

D. Teach the use of cold packs to reduce bruising and swelling.

actinic keratosis

a precancerous skin growth that occurs on sun-damaged skin

Actinic Keratosis (AK) characteristics

precancerous scaly pink or reddish brown macules or papules common in clients who have chronically sun-damaged skin

Cancer Stages

0-4, 0 is in situ, 1 localized, 2 limited spread 3 regional spread to lymph 4 metastasis to other organs