The nurse is reviewing the medical records for several clients who will be seen in the clinic today. According to the ABCD rule, which client may require removal of the skin lesion?
A) A client with a lesion that is symmetrical with an irregular border, a single color, and increased diameter
B) A client with a lesion that is symmetrical, with a smooth border, a single color, and diameter that has stayed the same
C) A client with a lesion that is asymmetrical with a regular border, two colors, and decreased diameter
D) A client with a lesion that is asymmetrical with an irregular border, two colors, and increased diameter
Answer: D
To meet all four criteria for removal of a lesion, the lesion will be asymmetrical, have irregular borders, show color change or more than one color, and have increased in diameter.
You might also like to view...
The hospice nurse is caring for a father and his children following the death of their mother
The father is having difficulty taking on the responsibilities and duties that were previously done by his wife, especially relating to and communicating with his teenage daughters. Which nursing diagnosis best describes the family's situation at this time? a. Impaired parenting r/t inappropriate child care arrangements b. Ineffective denial r/t new and unpleasant reality of single parenting c. Interrupted family processes r/t father's caregiving role changes d. Disturbed thought processes r/t father's feelings of grief over loss of wife
A client in the psychiatric hospital for stabilization tells the nurse that a panic attack is coming on. What should the nurse ask this client?
1. "Are you feeling tired?" 2. "Are you having a pounding heart rate?" 3. "Are you having problems urinating?" 4. "Are you constipated?"
The nurse is admitting a new patient to the nursing unit. When doing the admission assessment, it is important to assess the patient's risk for falling by asking the patient:
1. "How many times have you fallen before?" 2. "How many hours do you sleep at night?" 3. "What are your eating habits?" 4. "Do you smoke?"
A patient with diabetes is surprised to learn that he has been having angina when the only problem he has been experiencing is a "bit of fatigue and shortness of breath."
Which of the following should the nurse explain to this patient? 1. fatigue is the first symptom of angina 2. shortness of breath is the first symptom of angina 3. the diabetes has caused you to have reduced pain sensitivity so the fatigue and shortness of breath were the symptoms that you felt 4. there is no classic symptom of angina