Nokea
The nurse is caring for a client with a suspicious lesion on the client's head. The lesion is sore and resembles basal cell carcinoma. Which client finding is a risk factor for developing skin cancer?
- A. The client is a 2 pack/day cigarette smoker.
- B. The client has androgenetic alopecia.
- C. The client frequently works wearing hats.
- D. The client has a history of cystic acne.
Correct Answer: B
Rationale: The nurse is correct to identify that the client with androgenetic alopecia or male pattern baldness is at risk for skin cancer. Due to the skin being exposed to the ultraviolet radiation of the sun, the client is at risk for malignant skin changes. Smoking cigarettes is a risk factor for many other types of cancer. Wearing hats and having acne is not a risk factor for skin cancer.
You may also like to solve these questions
The nurse is assessing a client with onychocryptosis. Which of the following is evident if the tissue is infected?
- A. Pressure
- B. Redness and swelling
- C. Pain
- D. Purulent drainage and an odor
Correct Answer: D
Rationale: Purulent leakage and an odor are evident if the tissue is infected. A client with onychocryptosis feels a local pressure from the abnormal nail growth, but this is not a sign of the tissue being infected. Redness, swelling, and pain occur where the nail pierces the adjacent tissue.
The nurse is caring for a client with herpes zoster. What symptom(s) can the nurse anticipate? Select all that apply.
- A. Symptoms appear symmetrically.
- B. Client states pain and itchiness.
- C. Symptoms last for 24 hours.
- D. Rash appears first as vesicles then crusts.
- E. A secondary skin infection can begin.
Correct Answer: B,D,E
Rationale: The nurse is correct to identify the symptoms of herpes zoster as pain and itchiness that occur unilaterally along a dermatome. The rash appears as vesicles that rupture and then form a crust. The symptoms can last for weeks or months.
The nurse is caring for a client with a new tattoo. Which nursing diagnosis is of highest priority?
- A. Altered Skin Integrity
- B. Infection Risk
- C. Acute Pain
- D. Altered Tissue Perfusion
Correct Answer: B
Rationale: The trauma created by a tattoo is similar to a minor burn, thus, skin integrity, pain, and tissue perfusion are not the highest priority. Infection risk is the highest priority due to the injection of ink in the dermis. The priority of care is preventing infection.
The nurse is caring for a client experiencing rosacea. Which is the earliest symptom of the disease process?
- A. Flushed facial appearance
- B. Blush pallor of the skin.
- C. Large facial pores.
- D. Orange peel skin texture
Correct Answer: A
Rationale: The nurse is correct to identify the earliest symptom of rosacea as being a flushed appearance across the nose, forehead, cheeks, and chin. Other symptoms include a sunburn appearance to the skin, solid papules or pustules, large facial pores, and an orange peel texture to the skin. Large facial pores and orange peel skin texture are found in the later stages as the disease progresses.
The school nurse is instructing a parent in the care and elimination of lice from their child's hair. The parent brings all of the products for care in a bag. Which contents are not appropriate for use?
- A. Shampoo and conditioner
- B. Permethrin (Nix)
- C. Plastic fine-toothed comb
- D. New hair clips
Correct Answer: A
Rationale: The nurse is correct to instruct the parent to avoid shampoo and conditioner because this coats the hair and protects the nits. Nix and a fine-toothed comb are recommended. New hair clips may be used once the infestation is gone.