An older adult patient with a squamous cell carcinoma (SCC) on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?

Question

a. Describe the use of topical fluorouracil on the incision.
b. Teach how to use sterile technique to clean the suture line.
c. Schedule daily appointments for wet-to-dry dressing changes.
d. Teach about the use of cold packs to reduce bruising and swelling.

Answer 1

ANS: D
Application of cold packs to the incision after the surgery will help decrease bruising and swelling at the site. Since the Mohs procedure results in complete excision of the lesion, topical fluorouracil is not needed after surgery. After the Mohs procedure the edges of the wound can be left open to heal or the edges can be approximated and sutured together. The suture line can be cleaned with tap water. No debridement with wet-to-dry dressings is indicated.