Based on this description, what is your most likely diagnosis?
A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest. The lesion appears to be “stuck on” and is oval, brown, and slightly elevated with a flat surface. It has a rough, wartlike texture on palpation.
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
B) Seborrheic keratosis
This is a typical description for seborrheic keratosis. The “stuck on” appearance and the rough, wartlike texture are key features for the diagnosis. They often produce a greasy scale when scratched with a fingernail, which further helps to distinguish them from other lesions. Frequently, these benign lesions actually meet several of the ABCDEs of melanoma, so it is important to distinguish these lesions to prevent unnecessary biopsy. It is important to consider biopsy whenever there is any doubt, though.
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The overall temperature in your gerontological unit is 62° F during the evening shift. In documenting this concern to administration, which factor is the most important for the health and well-being of older adults?
a. It is not fair for older adults to have to deal with an uncomfortable environment. b. Some of the residents are wearing blankets around their shoulders to keep warm. c. An ambient temperature of 62° F is unsuitable for older people because they have impaired thermoregulation. d. It feels much warmer in the administration wing than out in the client care areas.
A client has undergone enucleation. What complication of enucleation should be addressed by the nurse?
A) Hypotension B) Nausea and vomiting C) Hemorrhage D) Pneumonia
A client who has been exhibiting decorticate posturing after a stroke 2 days ago develops decerebrate posturing. The nurse should recognize that this change indicates the client's condition is:
a. worsening c. improving b. unchanged d. an expected progres-sion of stroke
The process of evaluation of health care in relation to specified standards or outcomes is called:
A) utilization review B) systematic review C) research utilization D) quality improvement