An older patient has developed age spots and is concerned about ...

[rachel9]

An older patient has developed age spots and is concerned about skin cancer. How would the nurse instruct the patient to perform skin checks to assess for signs of skin cancer?
 
  a. Limit the time you spend in the sun.
  b. Monitor for signs of infection.
  c. Monitor spots for color change.
  d. Use skin creams to prevent drying.

Question 2

A patient is to receive phototherapy for the treatment of psoriasis. What is the nursing priority for this patient?
 
  a. Obtaining a complete blood count (CBC)
  b. Protection from excessive heat
  c. Protection from excessive ultraviolet (UV) exposure
  d. Instructing the patient to take their multivitamin prior to treatment

[maaaaaaaaaa]

Answer to Question 1

ANS: C
The ABCD method (check for asymmetry, border irregularity, color variation, and diameter) should be used to assess lesions for signs associated with cancer. Color change could be a sign of cancer and needs to be looked at by a dermatologist. Limiting time spent in the sun is a preventative measure but will not assist the patient in checking the skin or detecting skin cancer. Infection is usually not found in skin cancer. Skin creams have not been shown to prevent cancer nor would they assist in detecting skin cancer.

Answer to Question 2

ANS: C
Protection from excessive UV exposure is important to prevent tissue damage. Protection from heat is not the most important priority for this patient. There is no need for vitamins or a CBC for patients with psoriasis.

[rachel9]

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