A nurse assesses an older adult's skin. Which findings require immediate referral? (Select all that apply.)
a. Excessive moisture under axilla
b. Increased hair thinning
c. Increased presence of fungal toenails
d. Lesion with various colors
e. Spider veins on legs
f.
Asymmetric 6-mm dark lesion on forehead
ANS: D, F
The lesion with various colors, as well as the asymmetric 6-mm dark lesion, fits two of the American Cancer Society's hallmark signs for cancer according to the ABCD method. Other manifestations are variants of normal seen in various age groups.
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