A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past
The nurse would:
a.
Tell the patient to watch the lesion and report back in 2 months.
b.
Refer the patient because of the suggestion of melanoma on the basis of her symptoms.
c.
Ask additional questions regarding environmental irritants that may have caused this condition.
d.
Tell the patient that these signs suggest a compound nevus, which is very common in young to middle-aged adults.
ANS: B
The ABCD danger signs of melanoma are asymmetry, border irregularity, color variation, and diameter. In addition, individuals may report a change in size, the development of itching, burning, and bleeding, or a new-pigmented lesion. Any one of these signs raises the suggestion of melanoma and warrants immediate referral.
You might also like to view...
Which are signs and symptoms the nurse should assess in the newborn that can indicate an inborn error of metabolism? (Select all that apply.)
a. Jaundice b. Strabismus c. Poor feeding d. Acrocyanosis e. Metabolic acidosis
The new graduate nurse is interviewing with managers in the hospital. The nurse has decided that working for a manager who demonstrates a democratic style of leadership would be the best match for the nurse
To determine the manager's style, the nurse asks the manager: 1. "What shift will I be working?" 2. "How do you implement orientation?" 3. "How do you implement new unit policy?" 4. "What is your view of nurses working overtime?"
Which strategy is appropriate when feeding the infant with congestive heart failure?
a. Continue the feeding until a sufficient amount of formula is taken. b. Limit feedings to no more than 30 minutes. c. Always bottle feed every 4 hours. d. Feed larger volumes of concentrated formula less frequently.
A patient asks when adjuvant chemotherapy is used. How should the nurse respond? Adjuvant chemotherapy treatment is used:
a. as the primary treatment. b. before radiation therapy. c. after surgical removal of a tumor. d. in cancer with little risk of metastasis.