A client presents to the primary care clinic for an annual ...

[cabate]

A client presents to the primary care clinic for an annual physical. The nurse caring for the client notes that the client's healthcare provider uses the ABCD mnemonic to assess suspicious skin lesions.
 
  What does the D in ABCD represent?
  A) Diameter of lesion greater than 8mm
  B) Distance of lesion to an additional lesion
  C) Diameter of lesion greater than 6mm
  D) Depth of lesion

Question 2

A nurse working in an outpatient dermatology clinic is caring for a client who has been diagnosed with a lentigo maligna. Which statement is inappropriate for the nurse to include in the client's teaching plan?
 
  A) The lesion is also called Robertson freckle.
  B) The lesion is a precursor to melanoma.
  C) The lesion is a tan or black patch on the skin that looks like a freckle.
  D) The lesion grows slowly, becoming mottled, dark, thick, and nodular.

[parshano]

Answer to Question 1

Answer: C

The ABCD rule is used to assess suspicious lesions:
Asymmetry (One half of the nevus does not match the other half.)
Border irregularity (Edges are ragged, blurred, or notched.)
Color variation or dark black color
Diameter greater than 6 mm (size of a pencil eraser)

Answer to Question 2

Answer: A

A lentigo maligna, also called a Hutchinson freckle, is a precursor to melanoma. The lesion is a tan or black patch on the skin that looks like a freckle. The lesion grows slowly, and becomes mottled, dark, thick, and nodular.