Author Question: An older adult patient has been taught measures to prevent the development of skin cancer. Which ... (Read 46 times)

altibaby · **on:** Jul 11, 2018

An older adult patient has been taught measures to prevent the development of skin cancer. Which statement, if made by the patient, indicates the need for more teaching?

a. I will certainly miss my vegetable and flower gardening.
b. I should buy a sunscreen with an SPF of 15 or higher.
c. Now I have a good excuse to wear the straw hat my spouse hates.
d. My cool long-sleeved shirts will work just fine while I'm golfing.

Question 2

The presence of which skin assessment finding, if noted on an older adult patient, should cause the nurse to suspect a premalignancy?

a. Numerous small red papules on the chest and back
b. An oozing, rough, reddish macule on the ear
c. An irregularly shaped mole on the face or shoulders
d. Brown, greasy lesions on the neck

katieost · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
The patient is still able to garden as long as he or she takes appropriate sun precautions. The other statements show good understanding.

Answer to Question 2

B
Actinic keratosis begins in vascular areas as a reddish macule or papule that has a rough, yello-wish brown scale that may itch or cause discomfort. Actinic keratosis may evolve into squamous cell carcinoma (SCC) if not treated, so it should receive prompt attention. Red papules, irregu-larly shaped moles, and brown greasy lesions are not likely to be precancerous.