Author Question: A middle-aged construction worker has a raised lesion with a pearly border on his arm that bleeds ... (Read 164 times)

RRMR · **on:** Jun 25, 2018

A middle-aged construction worker has a raised lesion with a pearly border on his arm that bleeds easily. The nurse realizes that this client most likely is experiencing a(n):

1. actinic keratosis.
2. basal cell carcinoma.
3. malignant melanoma.
4. melanoma in situ.

Question 2

A client is demonstrating patches of thick, red skin with silvery scales on the elbows and knees. The nurse suspects that this client is experiencing:

1. psoriasis.
2. rosacea.
3. scabies.
4. stasis dermatitis.

pikon · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

2
Basal cell carcinoma in its nodular form appears as a pearly, translucent bump that bleeds easily. Actinic keratosis is seen or palpated on the face, scalp, arms, and ears. It can have a color from tan to red or have the patient's normal skin tone. Malignant melanoma is a lesion that has changed its color and shape, has gotten bigger, or has an irregular border. Melanoma in situ presents with flat or raised lesions with histologic features of melanoma.

Answer to Question 2

1
Psoriasis is characterized by patches of thick, red skin with silvery scales, usually on the scalp, elbows, knees, and lumbosacral areas. Rosacea is a chronic, inflammatory condition characterized by erythema, papules, pustules, and telangiectasis. Scabies is a highly contagious, pruritic skin infection caused by a mite. Stasis dermatitis is a condition that occurs on the lower extremities of patients with venous insufficiency.