There is one opening in the schedule at the dermatology clinic, ...

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There is one opening in the schedule at the dermatology clinic, and 4 patients are seeking appointments today. Which patient will the nurse schedule for the available opening?
 
  a. 38-year old with a 7-mm nevus on the face that has recently become darker
  b. 62-year-old with multiple small, soft, pedunculated papules in both axillary areas
  c. 42-year-old with complaints of itching after using topical fluorouracil on the nose
  d. 50-year-old with concerns about skin redness after having a chemical peel 3 days ago

Question 2

The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?
 
  a. The patient takes a tepid bath before applying the cream.
  b. The patient spreads the cream using a downward motion.
  c. The patient applies a thick layer of the cream to the affected skin.
  d. The patient covers the area with a dressing after applying the cream.

[jessicaduplan]

Answer to Question 1

ANS: A
The description of the lesion is consistent with possible malignant melanoma. This patient should be assessed as soon as possible by the health care provider. Itching is common after using topical fluorouracil and redness is an expected finding a few days after a chemical peel. Skin tags are common, benign lesions after midlife.

Answer to Question 2

ANS: C
Creams and ointments should be applied in a thin layer to avoid wasting the medication. The other actions by the patient indicate that the teaching has been successful.

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Excellent

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