The nurse assesses clients to determine the risk factors to integumentary health. Which of the following older adults faces the most acute threat to his or her health?
A) A 66-year-old retired farmer who has been diagnosed with melanoma following a lifetime of sun exposure.
B) An 80-year-old client whose most recent physical examination has revealed the presence of numerous seborrheic keratoses.
C) A 78-year-old former factory worker whose basal cell carcinoma has been attributed to occupational exposures in decades past.
D) A 67-year-old client who has developed squamous cell carcinoma after many years of sun tanning without sunscreen.
A
Feedback:
Melanoma tends to metastasize and progress more quickly than other forms of skin cancer (basal cell grows slowly and rarely metastasizes, squamous cell cancer usually stays in the skin). Seborrheic keratoses are not normally a serious health threat.
You might also like to view...
The nurse manager understands that the three Ps associated with client education are philosophy, priority, and performance. Effective client education programs start with a shared philosophy that such programs are worth the investment
Evidence of a philosophic commitment to client teaching is best represented by: a. Investing time and energy in teaching clients. b. Developing teaching skills among the nursing staff. c. Assuming that clients lack the knowledge they need. d. Having a teaching checklist on clients' charts.
A client with psoriasis is being treated with topical corticosteroids. The nurse who is teaching the client about the application of the medication should explain that the correct way to apply the medication is to:
1. Apply the medication in a thin layer. 2. Avoid rubbing the medication into the skin. 3. Apply a thick layer of medication. 4. Continue medication even if lesions worsen, because it is only a temporary reaction.
A student nurse tells a peer, "I find myself constantly thinking about patient X and the problems she's experiencing. Sometimes, it makes me want to cry. If only I had a magic wand and could make things better for her!"
The peer to whom this is revealed can correctly determine that the student nurse is experiencing a. empathy for the patient. b. sympathy for the patient. c. therapeutic involvement. d. burnout.
The consistency and texture of the ____________________ diet are modified, making food easier to chew and swallow.
Fill in the blank(s) with the appropriate word(s).