The nurse is reviewing the medical records for several clients ...

[nelaaney]

The nurse is reviewing the medical records for several clients who will be seen in the clinic today. According to the ABCD rule, which client may require removal of the skin lesion?
 
  A) A client with a lesion that is symmetrical with an irregular border, a single color, and increased diameter
  B) A client with a lesion that is symmetrical, with a smooth border, a single color, and diameter that has stayed the same
  C) A client with a lesion that is asymmetrical with a regular border, two colors, and decreased diameter
  D) A client with a lesion that is asymmetrical with an irregular border, two colors, and increased diameter

Question 2

The nurse is conducting a clinic visit with a mother and an adolescent client. Both the mother and the adolescent report that the adolescent does not go to sleep until late at night and then wakes up late in the morning.
 
  The mother states, I don't know what to do. Which response by the nurse is the most appropriate?
  A) Inform her that adolescents experience changes in the body's internal clock associated with puberty.
  B) Recommend a polysomnography (PSG).
  C) Tell her to avoid giving her son any herbal preparations such as melatonin.
  D) Inform them that the son's sleep habits, such as bringing electronic devices to bed, have no effect on his sleep pattern.

[ndhahbi]

Answer to Question 1

Answer: D

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

Answer to Question 2

Answer: A

The result of hormonal changes can be delayed sleep phase syndrome. A sleep study would only be indicated if the adolescent were experiencing other sleep disturbance symptoms. Possible solutions for delayed sleep phase syndrome are practicing good sleep habits and taking medications such as melatonin at night.

[nelaaney]

Excellent

[tandmlomax84]

TYSM