Skin Cancer Practice Questions
The client has squamous call carcinoma removed from the lip. Which discharge instructions should the nurse provide? A. Notify the HCP if a non healing lesion develops around the mouth B. Squamous call carcinoma tumors do not metastasize C. Limit foods to liquid or soft consistency for 1 month D. Apply heat to the area for 20 minutes q4h
A
The client is admitted to the outpatient surgery center for removal of a malignant melanoma. Which assessment data indicate the lesion is a malignant melanoma? A. The lesion is asymmetrical and has irregular boarders B. The lesion has a waxy appearance with pearl-like boarders C. The lesion has a thickened and scaly appearance D. The lesion appeared as a thickened area after injury
A
The nurse is caring for clients in an outpatient surgery clinic. Which client should be assessed first? A. The client scheduled for a skin biopsy who is crying B. The client who had surgery 3 hours ago and is sleeping C. The client who needs to void prior to discharge D. The client who has received discharge instructions and is ready to go home
A
The female client admitted for an unrelated dx asks the nurse to check her back because "it itches all the time in that one spot". When the nurse assesses the clients back, the nurse notes an irregular-shaped lesion with some scabbed over areas surrounding the lesion. Which action should the nurse implement first? A. Notify the HCP to check the lesion on rounds B. Measure the lesion and note the color C. Apply lotion to the lesion D. Instruct the client to make sure the HCP checks the lesion
B
The male client diagnosed with AIDS states that he has developed a purple-brown spot on his calf. Which action should the nurse do first? A. Refer the client to an HCP for a biopsy of the area B. Assess the lesion for size, color, and symmetry C. Discuss end-of-life decisions with the client D. Report the STD to the health department
B
The nurse is caring for a client dx with squamous cell skin cancer and writes a psychosocial problem of "fear." Which nursing interventions should be included in the plan of care? A. Explain to the client that the fears are unfounded B. Encourage the client to verbalize the feeling of being afraid C. Have the HCP discuss the clients fear with the client D. Instruct the client regarding all planned procedures
B
The nurse and he AP are caring for clients in a dermatology clinic. Which task should not be delegated to the AP? A. Stock the rooms with the equipment needed B. Weigh the clients and position the clients for the examination C. Discuss problems the client has experienced since the previous visit D. Take the biopsy specimens to the lab
C
The school nurse is preparing to teach a health promotion class to high school seniors. Which information regarding self-care should be included when teaching? A. Wear sunscreen with a protection factor of 10 or less when in the sun B. Try to stay out of the sun between 0300 and 0500 daily C. Perform a thorough skin check monthly D. Remember caps and long sleeves do not help prevent skin cancer
C
Which client physiological outcome (goal) is appropriate for a client diagnosed with skin cancer who has had surgery to remove the lesion? A. The client will express feelings of fear B. The client will ask questions about the diagnosis C. The client will state a diminished level of pain D. The client will demonstrate care of operative site
C
The middle-aged client has had 2 lesions diagnosed as basal cell carcinoma removed. Which discharge instruction should the nurse include? A. Teach the client that there is no more risk for cancer B. Refer the client to a prothesis specialist for prothesis C. Instruct the client how to apply sunscreen to the area D. Demonstrate care of the surgical site
D
The nurse participating in a health fair is discussing malignant melanoma with a group of clients. Which information regarding the use of sunscreen is important to include? A. Sunscreen is only needed during the hottest hours of the day B.Toddlers should not have sunscreen applied to their skin C. Sunscreen does not help prevent skin cancer D. The higher the number of the sunscreen, the more it blocks UV rays
D
Which client is at greater risk for the development of skin cancer? A. The African American male who lives in the northeast B. The elderly Hispanic female who moved from Mexico as a child C. The client who has a family history of basal cell carcinoma D. The client with fair complexion who cannot get a tan
D