When assessing for squamous cell cancer (SCC), a home health ...

[geodog55]

When assessing for squamous cell cancer (SCC), a home health nurse is particularly concerned about a suspicious lesion on the
 
  a. leg of a 60-year-old Asian female.
  b. neck of a 73-year-old Hispanic female.
  c. Lower lip of a 70-year-old African Amer-ican male.
  d. back of a 90-year-old Caucasian male.

Question 2

A patient treats chronic kidney failure with peritoneal dialysis. The patient notes the fluid draining out of the abdomen is cloudy and foul smelling. What action by the nurse is best?
 
  a. Assess the patient for other signs of infec-tion.
  b. Document the findings in the patient's chart.
  c. Call the rapid response team immediately.
  d. Request a prescription for an antibiotic.

[upturnedfurball]

Answer to Question 1

C
SCC is skin cancer arising from the epidermis and is found most often on the scalp, outer ears, lower lip, and dorsum of the hands. Approximately 90 of lip lesions can be attributed to squamous cell carcinoma. SCC is more common in men and older adults. SCC is the most com-mon skin cancer in African-Americans.

Answer to Question 2

A
One of the complications of peritoneal dialysis is infection in the peritoneal space, or peritonitis. The nurse should fully assess the patient for infection and notify the provider. Documentation should occur, but the nurse needs to take action first. The rapid response team is not needed. An-tibiotics will probably be used to treat the infection.

[geodog55]

Excellent

[JaynaD87]

TYSM