Author Question: A patient has a small, red, scaling lesion that is sitting on an elevated base on the forehead. The ... (Read 64 times)

@Brianna17 · **on:** Jun 25, 2018

A patient has a small, red, scaling lesion that is sitting on an elevated base on the forehead. The patient states that lesion began several weeks before and will not heal. What type of lesion does the nurse consider the patient is experiencing?

1. squamous cell carcinoma
2. melanoma
3. psoriasis
4. seborrheic keratosis

Question 2

The patient with herpes zoster has pruritus and reports difficulty resting at night. Which intervention will best aid the patient?

1. Encourage the patient to take prescribed antipruritic agents approximately one hour before bedtime.
2. Massage the irritated skin areas with lotion.
3. Apply powder to the lesions.
4. Use heavy bed linens to avoid chilling at night.

ASDFGJLO · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Squamous cell carcinoma consists of tumors of the outer epidermis that occur with frequent exposure to the sun. The scaling lesions sit on an elevated base with an irregular border that may itch or be a nonhealing lesion after minor trauma. Melanomas appear as a changing or unusual mole with an irregular border, an uneven surface, and a varying size and shape. Psoriasis lesions are erythematous papules and plaques with silver white scales that are sharply demarcated. Seborrheic keratosis lesions are warty, dirty yellow to black papules with sharp margins.

Answer to Question 2

Correct Answer: 1
The patient with herpes zoster might express difficulty sleeping. The inability to rest is often related to pruritus. The use of antipruritic agents prior to bedtime will facilitate rest. Lotion massaged into the skin and powder can irritate the skin lesions. Heat will increase the occurrence of itching.