While bathing a patient, the nurse discovers a grayish black, nodular growth that resembles a blackberry in the middle of the patient's back. The nurse should:
a. encourage the patient to seek medical care as the findings are consistent with malig-nant melanoma.
b. teach the patient how to assess for changes in the growth
c. document finding an actinic keratoses on the back.
d. suggest the patient get treatment for a growth that is consistent with squamous cell carcinoma.
A
These findings are consistent with a nodular malignant melanoma. It should be evaluated by the physician and removed immediately once the diagnosis is confirmed. Actinic keratoses occur very frequently on the skin of the elderly. They appear on fair-skinned people as a small, scaly, red or grayish papule particularly on areas of skin that are often exposed to the sun. Squamous cell carcinoma appears as a nodule that later becomes ulcerated.
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