Skin NU202 qcc final

The ABCD method offers one way to assess skin lesions for possible skin cancer. What does the A stand for? Actinic Arcus Assessment Asymmetry

Correct response: Asymmetry Explanation: When following the ABCD method for assessing skin lesions, the A stands for "asymmetry," the B for "border irregularity," the C for "color variation," and the D for "diameter."

Question 3 of 7 Diagnosis of skin cancer is confirmed by which of the following diagnostic tests? Biopsy Visual interpretation Skin scraping Blood culture

Correct response: Biopsy Explanation: Skin cancer is diagnosed by visual inspection and confirmed by biopsy. Skin scarping and blood cultures are not used to confirm skin cancer.

A public health nurse is participating in a health promotion campaign that has the goal of improving outcomes related to skin cancer in the community. What action has the greatest potential to achieve this goal? Educating participants about the early signs and symptoms of skin cancer Educating participants about the health risks associated with smoking and assisting with smoking cessation Educating participants about treatment options for skin cancer Educating participants about the relationship between general health and the risk of skin cancer

Correct response: Educating participants about the early signs and symptoms of skin cancer Explanation: The best hope of decreasing the incidence of skin cancer lies in educating clients about the early signs. There is a relationship between general health and skin cancer, but teaching individuals to identify the early signs and symptoms is more likely to benefit overall outcomes related to skin cancer. Teaching about treatment options is not likely to have a major effect on outcomes of the disease. Smoking is not among the major risk factors for skin cancer.

Which is the primary preventable cause of skin cancer? Skin disease Excess melanin Exposure to UV radiation Fair skin

Correct response: Exposure to UV radiation Explanation: Skin cancer is caused by exposure to UV radiation, both artificial and in sunlight. Fair-skinned individuals are more susceptible because they do not have as many melanin-producing cells within their skin. Skin diseases do not cause cancer.

Question 2 of 7 A patient is scheduled for Mohs microscopic surgery for removal of a skin cancer lesion on his forehead. The nurse knows to prepare the patient by explaining that this type of surgery requires: Destruction of the tissue by electrical energy. A process of deep-freezing the tumor, thawing and refreezing. The use of radiation therapy. Removal of the tumor, layer by layer.

Correct response: Removal of the tumor, layer by layer. Explanation: Mohs micrographic surgery removes the tumor layer by layer. The first layer excised includes all evident tumor and a small margin of normal-appearing tissue. The specimen is frozen and analyzed by section to determine if all the tumor has been removed. If not, additional layers of tissue are shaved and examined until all tissue margins are tumor-free

Question 7 of 7 The nurse is invited to present a teaching program to parents of school-age children. Which topic would be of greatest value for decreasing cancer risks? Sun safety and use of sunscreen Pool and water safety Hand washing and infection prevention Breast and testicular self-exams

Correct response: Sun safety and use of sunscreen Explanation: Pool and water safety as well as infection prevention are important teaching topics but will not decrease cancer risk. While performing breast and testicular self-exams may identify cancers in the early stage, this teaching is not usually initiated in school-age children. Severe sunburns that occur in young children can place the child at risk for skin cancers later in life. Because children spend much time out of doors, the use of sunscreen and protective clothing/hats can protect the skin and decrease the risk.

Question 4 of 7 A nurse is caring for a client whose skin cancer will soon be removed by excision. Which of the following actions should the nurse perform? Teach the client about early signs of secondary blistering diseases. Assess the client for adverse effects of radiotherapy. Assess the client's risk for recurrent malignancy. Teach the client about self-care after treatment.

Correct response: Teach the client about self-care after treatment. Explanation: Because many skin cancers are removed by excision, clients are usually treated in outpatient surgical units. The role of the nurse is to teach the client about prevention of skin cancer and about self-care after treatment. Assessing the client's risk for recurrent malignancy is primarily the role of the health care provider. Blistering diseases do not result from cancer or subsequent excision. Excision is not accompanied by radiotherapy.