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Week 14 CON
| Question | Answer |
|---|---|
| A patient arrives at the primary care clinic. The patient expresses concern about a "new mode" on the upper thigh. The nurse anticipates which initial order from the primary care provider? | Prepare the patient for a biopsy |
| A patient recently admitted to the oncology unit is diagnosed with actinic keratosis. Which provider order should the nurse question? | A skin excision to determine tumor depth |
| Which response from a patient diagnosed with squamous cell carcinoma demonstrates effective patient teaching about the treatment by the health care team? | I should be prepared to undergo surgery to treat this cancer? |
| The nurse is preparing to administer psoralen to a patient diagnosed with cutaneous T-cell lymphoma. Which action should the nurse teach the patient to perform while taking this medication? | Wear protective eyewear |
| A patient in the clinic states, “I found this reddish brown mole on my scalp. It can’t be cancer: I only sunbathe twice a year.” The nurse understands that this characteristic finding is common in which type of skin cancer? | Atypical nevi |
| A patient with a new diagnosis of actinic keratosis is admitted to the unit. On assessment, which clinical manifestations would the nurse expect to find? | Thickened papules on the skin |
| Match the Fitzpatrick Classification of Skin Type to the patient statement. | Type 1 - Type IV - Type III- Type II |
| A patient diagnosed with basal cell carcinoma is being treated with radiation therapy. The patient is complaining of a sore mouth. Which nursing actions are appropriate? | - Provide the patient with hard candies - Encourage consumption of cool or cold foods - Teach the patient to avoid eating meat and spicy foods |
| A patient undergoing radiation therapy for a malignant melanoma states, “I’m happy I’m doing radiation and not chemotherapy. At least I can keep my hair.” Which response by the nurse is appropriate? | “Because skin cancer requires multiple radiology visits, the chances of hair loss due to radiation may increase along with other side effects.” |
| The nurse caring for a patient diagnosed with squamous cell carcinoma knows that which patient findings are risk factors for the development of skin cancer? | Inability to tan - Celtic ancestry - Infrequent use of sunscreen |
| The nurse is caring for a patient diagnosed with melanoma. The nurse is aware that which areas are common sites for this cancer? | Back - Scalp - Trunk - Lower legs |
| The nurse teaches the patient the ABCDEs of skin self-examination. Which statement by the patient demonstrates that teaching has been effective? | “I should report any moles that are more than ¼ inch in diameter to my health care provider.” |
| A patient has returned to the dermatology office to review results of a repeat skin biopsy. The provider is unable to determine the results of the biopsies on .. Which data found in the patient’s record would be most significant to report to the provider? | The patient is taking ibuprofen. |
| A patient underwent an excisional biopsy 3 days ago. The patient calls the clinic and reports a scant amount of bleeding and “a little discomfort.” What is the best action by the nurse? | Inform the patient that slight bleeding and discomfort are expected after an excisional biopsy |
| A patient has been diagnosed with malignant melanoma. The health care provider orders adjuvant therapy after surgery for this patient. Which medication does the nurse anticipate administering to the patient? | Cisplatin |
| Which nursing interventions are most appropriate for a patient receiving psoralen therapy? | - Provide skin moisturizers - Administer ondansetron as ordered - Recommend the use of an emollient |
| A patient with skin cancer undergoing radiation therapy tells the nurse that she has become self-conscious about changes in her skin. What recommendations can the nurse make to the patient so that she can avoid further skin damage? | - “Wear a scarf on your head to protect your scalp.” - “Find some activities that will help you reduce stress levels.” - “Use gentle, nonirritating soaps when you wash your hands and bathe.” |
| “Use gentle, nonirritating soaps when you wash your hands and bathe.” | A patient with alcohol-related liver disease |
Created by:
Brandi Sizemore
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