During the examination of an older client's skin the nurse notes ...

[CBme]

During the examination of an older client's skin the nurse notes an irregular, raised area on the forehead that is crusty with slight bleeding. What should the nurse ask the client about the lesion?
 
  1. Does it bleed often?
  2. Is it painful?
  3. Does it go away at night?
  4. Have other lesions healed?

Question 2

During a home visit the nurse observes a family member provide care to the client. Which observation should the nurse use to instruct the family member?
 
  1. The family bathes the client with warm, soapy water.
  2. The family member pulls the client across the sheets.
  3. The family uses pillows for support.
  4. The family raises the head of the bed for meals.

[Dinolord]

Answer to Question 1

Answer: 2

1. The nurse can see that the lesion bleeds.
2. Squamous cell carcinoma is painful. Asking the client about pain helps with the diagnosis.
3. This type of lesion does not recede at night.
4. Squamous cell carcinoma does not heal on its own.

Answer to Question 2

Answer: 2

1. Warm, soapy water is used on the older client because the skin is easily burned.
2. Pulling the client across the sheets could cause a shearing burn and the beginning of a pressure ulcer.
3. Pillows are used to prevent pressure on bony prominences.
4. It is appropriate to raise the head for meals to prevent choking.

[CBme]

Correct answers!

[Dinolord]

Great! Please up vote