Author Question: The doctor has asked the client to come in for the removal of a skin lesion after it is determined ... (Read 41 times)

elizabeth18 · **on:** Jul 22, 2018

The doctor has asked the client to come in for the removal of a skin lesion after it is determined that the lesion meets all four criteria for removal according to the ABCD rule. The nurse interprets this to mean which of the following?

1. The lesion is symmetrical, with a smooth border, a single color, and the diameter has stayed the same.
2. The lesion is symmetrical with an irregular border, a single color, and the diameter has increased.
3. The lesion is asymmetrical with a regular border, two colors, and the diameter has decreased.
4. The lesion is asymmetrical with an irregular border, two colors, and the diameter has increased.

Question 2

When caring for a confused patient, the nurse would initiate all of the following interventions EXCEPT

a. keep activities simple and uncomplicated
b. try to keep daily activities as routine as possible
c. keep clutter in traffic areas to a minimum
d. maintain the bed in high position

connor417 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. The lesion is asymmetrical with an irregular border, two colors, and the diameter has increased.

Rationale:
To meet all four criteria for removal of a lesion, the lesion will be asymmetrical, have an irregular border, show color change or more than one color, and have increased in diameter.

Answer to Question 2

D
The nurse should keep activities simple and uncomplicated, try to keep daily activities as routine as possible, keep clutter in traffic areas to a minimum, and make sure the bed is low and that there is proper lighting to help prevent falls.