During an assessment of a 26 year old at the clinic for "a spot on my lip I think is cancer," the nurse notices a group of clear vesicles with an erythematous base around them located at the lip-skin border
The patient mentions that she just returned from Hawaii. What would be the most appropriate response by the nurse?
a.
Tell the patient she needs to see a skin specialist.
b.
Discuss the benefits of having a biopsy performed on any unusual lesion.
c.
Tell the patient that these vesicles are indicative of herpes simplex I or cold sores and that they will heal in 4 to 10 days.
d.
Tell the patient that these vesicles are most likely the result of a riboflavin deficiency and discuss nutrition.
ANS: C
Cold sores are groups of clear vesicles with a surrounding erythematous base. These evolve into pustules or crusts and heal in 4 to 10 days. The most likely site is the lip-skin junction. Infection often recurs in the same site. Recurrent herpes infections may be precipitated by sunlight, fever, colds, or allergy.
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