Health Assessment Skin and Nails
According to the Skin Cancer Foundation (2020), 1 in (51020) people in the United States will develop skin cancer before the age of 70.
5
A nurse has four patients who all report having a suspicious mole. Which of the patients should the nurse request the dermatologist see first? A 82-year-old with a mole that itches and is tender to touch A 89-year-old with a 6mm mole A 42-year-old who has an existing mole on his arm A 30-year-old who has a mole that is similar to the rest of the moles on the body
A 82-year-old with a mole that itches and is tender to touch
A patient is experiencing uncontrollable itching "all over." Which questions will the examiner ask to collect relevant data related to the itching? (Select all that apply.) Have you recently changed or added new soaps, detergents, dryer sheets or other household chemical products that touch your skin? Has this ever happened to one of your siblings? Do you have seasonal allergies? Are others experiencing these same symptoms? When did you first notice the itching? Did the itching start in one area and spread, or was it all over your body from the start?
Did the itching start in one area and spread, or was it all over your body from the start? When did you first notice the itching? Are others experiencing these same symptoms?
A patient with stage 3 melanoma asked the nurse why the physician ordered radiation therapy for him. Which of the following responses by the nurse is correct? Radiation therapy uses a person's own immune system to fight cancer. Radiation therapy uses high-energy particles or waves to destroy or damage cancer cells. Radiation therapy is a medication given orally to kill cancer cells. Radiation therapy are drugs or other substances to identify and attack certain types of cancer cells.
Radiation therapy uses high-energy particles or waves to destroy or damage cancer cells.
What is a function of the skin? Production of vitamin C Temperature regulation Secretion of a drying substance called sebum Production of new cells by melanocytes
Temperature regulation
A patient tells the examiner that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the examiner would be concerned with which additional finding? Diameter less than 6 mm Symmetry of lesion Variation in the color Border regularity
Variation in the color
A patient with melanoma reports her family is feeling upset and overwhelmed by the diagnosis. It has "stopped them from living." Which of the following nursing diagnoses would be most appropriate when planning interventions for this patient? Anxiety related to change in roles Compromised family coping related to terminal condition Low self-esteem related to chronic condition Fatigue related to impaired coping
compromised family coping related to terminal condition
The Braden Scale for Predicting Pressure Sore Risk® assesses which of the following? (Select all that apply.) Mobility Sensory perception Turgor Nutrition Circulation Moisture
moisture, nutrition, mobility, sensory perception
A patient is newly diagnosed with early stage melanoma. The nurse is providing education to the patient about this disease process. Which statement by the patient indicates comprehension of the education about this condition? "I am at risk for immunosuppression and may require immunotherapy." "I should only use tanning beds in the winter." "Complications from melanoma can lead to a stroke." "I will have to get the mole surgically removed."
"I will have to get the mole surgically removed."
A patient with end stage melanoma states that he does not want to see friends and family anymore. How should the nurse respond? "You should try going to support groups instead then." "You should still see your family and friends before you die." "I will ask your provider to prescribe you with an antidepression medication." "Tell me your thoughts and feelings that cause you to limit your interactions."
"Tell me your thoughts and feelings that cause you to limit your interactions."
A nurse cares for a 23-year-old patient that enjoys sunbathing on the beach. The patient asks, "What does that have to do with skin cancer?" How should the nurse correctly respond? "The UV radiation damages the DNA in your cells." "The sun changes the color of your skin causing cancer." "UV rays interact with medications and supplements causing cancer." "Sunbathing does not increase your risk for skin cancer."
"The UV radiation damages the DNA in your cells."
