A client presents to the urgent care clinic with an itchy, bulky. shiny tumor on his scalp that is
pink in color and ulcerated in the center. The tumor started out appearing like a pimple about 6
months ago but has since doubled in size. Based on the client's history and the appearance of
the tumor, which malignant skin lesion would the nurse suspect this client might have?
nodular basal-cell carcinoma
given that the lesion is bulky, shiny, pink, and started out as a papular (pimple-like) lesion which
has grown rapidly in the past 6 months
malignant carcinomas present with color variegation rather than a pink or flesh-colored
appearance.
squamous cell cancer begins as a small firm red nodule. Crusted areas develop over the
tumor, with ulceration, bleeding, and pain appearing as the tumor grows
The nurse is caring for a client with a history of malignant melanoma. While performing the
admission assessment, the nurse reviews ongoing self-care with the client. Which assessment
parameter is a priority during the initial physical examination? detailed skin assessment
The nurse is caring for a client with malignant melanoma on her leg who was recently admitted
to the oncology floor for biopsy. The client says that she has heard about certain skin lesions
that are precursors to melanomas, and she asks the nurse to tell her about how they typically
look so that she can make sure other family members know to check themselves for moles. The
nurse would tell her about which of the following skin lesions that are precursors to
melanoma? congential nevi- present at birth
dysplastic nevi- precursor to melanoma
lentigo maligna- mottled looking, one side of the face in the elderly
The nurse is caring for a client who was diagnosed with actinic keratosis. Which topic will the
nurse include in the discharge teaching for this client? use sunscreen, avoid sun exposure,
wear long sleeves, seek med attn for shiny/scaly lesions