Medical-Surgical: Dermatological Exam Questions with complete Solutions

Medical-Surgical: Dermatological Exam Questions with complete Solutions A nurse is planning care for a patient who has been admitted for treatment of a malignant melanoma of the upper life without many stasis. The nurse should plan to prepare the patient for which of the following procedures? - Correct Answer surgical excision -therapeutic approach: depends on level of invasion and depth of lesion; surgical excision is Tx of choice for small, superficial lesions, deeper lesions require wide, local excision followed by skin grafting -has an extremely high incidence of metastasis -curettage: used for small lesions that are not melanomas -regional/topical chemotherapy: Tx of choice for localized tumors and superficial basal cell carinomas The nurse is going for a patient who has a lesion on the back of his right hand. The patient asked the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? - Correct Answer melanomas -malignant neoplasms w/ atypical melanocytes in both epidermis, dermis, and sometimes subcutaneous cells -most lethal skin cancer, often causing metastases in bone, liver, lungs, spleen, CNS, and lymph nodes -basal cell carcinoma: most common type of skin cancer, rarely metastasizes; arise from basal cell layer of epidermis or hair follicles and generally appear on sun-exposed areas of body -actinic keratoses: premalignant; can evolve to squamous cell carcinoma, however they're not the most lethal -squamous cell carcinoma: arise from epidermis and are potentially metastatic, however they're not most lethal The nurse is assessing a patient who has a lesion on the skin. Which of the following findings as a clinical manifestation of the malignant melanoma? - Correct Answer irregularly shaped lesions w/ blue tones -can also be red or white in tone -often occur on upper back and lower legs -manifestations of actinic keratosis: rough, dry, scaly lesions -manifestations of squam