Author Question: A patient with skin cancer is recovering from a surgical procedure in which the layers of the lesion ... (Read 28 times)

londonang · **on:** Jun 25, 2018

A patient with skin cancer is recovering from a surgical procedure in which the layers of the lesion were shaved off. The nurse realizes that this patient most likely had which procedure?

1. Mohs surgery
2. complete surgical excision of the lesion
3. curettage
4. electrodesiccation

Question 2

The nurse instructs a patient with melanoma to eat foods rich in protein and calories. For which health problem is this action most likely being directed?

1. changes in skin integrity
2. insufficient blood flow
3. altered oxygen to blood tissues
4. insufficient body fluid

bob · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
In Mohs surgery, thin layers of the tumor are horizontally shaved off. A frozen section of the tissue is stained at each level to determine tumor margins. A surgical excision is the total removal of the lesion not just layers. Curettage is the shaving of abnormal tissue within 1 to 2 mm of the margin. Electrodesiccation refers to the use of a low-voltage transmission to the base of the tumor.

Answer to Question 2

Correct Answer: 1
When planning care for a patient with changes in skin integrity, interventions should include monitoring for infection, wound care, careful hand hygiene, and adequate caloric and protein intake for wound healing. Dietary alterations will not help with insufficient blood flow or oxygenation. Fluid volume is not directly impacted by a diet high in protein and calories.