The nurse is most concerned by observing when assisting with an older client's bath:
a. a persistent red lesion with a poorly defined base and an adherent yel-low-white scale
b. a slightly raised irregular patch that is bluish black in color
c. an open sore that bleeds, oozes, or crusts and remains for 3 weeks or more
d. rough, scaly, sandpaper-like patches that are slightly tender
ANS: B
A slightly raised discolored patch that may be tan, blue, red, black, or white is a characteris-tic of melanoma that accounts for less than 5% of skin cancer cases, but it causes most skin cancer deaths. A persistent red lesion with a poorly defined base and an adherent yel-low-white scale is a characteristic of squamous cell carcinoma. A sore that bleeds, oozes, and remains for 3 weeks or more is a characteristic of a basal cell carcinoma. A tender, rough, scaly, sandpaper-like patch is a characteristic of actinic keratoses (a pre-cancerous lesion).
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Fill in the blank(s) with the appropriate word(s).
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