A nurse teaches a client to perform total skin self-examinations on a monthly basis. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "Look for asymmetry of shape and irregular borders."
b. "Assess for color variation within each lesion."
c. "Examine the distribution of lesions over a section of the body."
d. "Monitor for edema or swelling of tissues."
e. "Focus your assessment on skin areas that itch."
ANS: A, B
Clients should be taught to examine each lesion following the ABCDE features associated with skin cancer: asymmetry of shape, border irregularity, color variation within one lesion, diameter greater than 6 mm, and evolving or changing in any feature.
You might also like to view...
Upon receiving report of his assigned patients, the nurse learns he is assigned to care for a patient scheduled for a chordoplasty procedure. This procedure is used to:
A) Repair valve annulus B) Repair leaflets C) Repair chordae tendineae D) Repair the commissure
NANDA is the acronym for:
A. New American Nursing Diagnosis Association. B. National American Nursing Diagnosis Association. C. North American Nursing Diagnosis Analyzer. D. North American Nursing Diagnosis Association.
Of the following, the biggest disadvantage of having nursing assistive personnel (NAP) help nurses is that the nurse:
1) Must know what aspects of care can legally and safely be delegated to the NAP. 2) May rely too heavily on information gathered by the NAP when making patient-care decisions. 3) Is removed from many components of direct patient care that have been delegated to the NAP. 4) Still maintains responsibility for the patient care given by the NAP.
The nurse is advising a lactose-intolerant pregnant client about calcium intake. Which calcium sources are approximately equivalent to 1 cup of milk? (Select all that apply.)
a. 3/4 cup yogurt b. 1 cup of sherbet c. 1 1/4 oz of hard cheese d. 1 1/4 cups of ice cream e. 3/4 cup of low-fat cottage cheese