A client with a family history of skin cancer comes for a skin assessment. What should the nurse prioritize during the assessment?
Assessing the client's overall health status.
Checking for enlarged lymph nodes.
Identifying any suspicious skin lesions or changes in moles.
Evaluating the client's cardiovascular health.
The Correct Answer is C
Choice A rationale:
"Assessing the client's overall health status." While assessing the client's overall health status is important, the primary focus during a skin assessment for a client with a family history of skin cancer should be on skin-specific concerns.
Identifying any suspicious skin lesions or changes in moles takes precedence in this context.
Choice B rationale:
"Checking for enlarged lymph nodes." Checking for enlarged lymph nodes is relevant in certain medical assessments but is not the primary priority when assessing a client with a family history of skin cancer.
The primary focus should be on skin-related concerns.
Choice C rationale:
"Identifying any suspicious skin lesions or changes in moles." This is the correct answer.
Given the family history of skin cancer, the nurse should prioritize the assessment of the client's skin for any suspicious lesions or changes in moles.
Early detection is crucial in cases with a family history of skin cancer.
Choice D rationale:
"Evaluating the client's cardiovascular health." Evaluating cardiovascular health is important but not the primary concern in this scenario.
The client's family history of skin cancer directs the assessment toward skin-related concerns and early detection of potential skin cancer.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The statement "I don't know how I'll look after surgery" reflects the client's concerns about the cosmetic outcomes of surgery but does not necessarily indicate a need for further emotional support.
Many individuals have legitimate concerns about their appearance after surgery, but this does not necessarily imply a lack of emotional support.
It is essential to address these concerns, but they may not indicate a significant need for additional emotional support.
Choice B rationale:
The statement "I'm going to follow my treatment plan diligently" indicates the client's commitment to their treatment plan, which is a positive sign.
It demonstrates that the client is taking their diagnosis seriously and is willing to actively participate in their care.
While emotional support may still be important, this statement does not necessarily indicate a need for further emotional support.
Choice C rationale:
The statement "I'll make sure to wear sunscreen from now on" indicates the client's willingness to take preventive measures after their diagnosis.
While this is a positive step in the right direction for skin cancer prevention, it does not necessarily indicate a need for additional emotional support.
Choice D rationale:
The statement "I don't think skin cancer is a big deal; it's just on my skin" suggests a potential lack of understanding or minimization of the seriousness of skin cancer.
This may indicate a need for further emotional support to address the client's perception of the condition.
It is essential to provide education and emotional support to help the client understand the potential consequences and impact of skin cancer on their overall health and well-being.
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
"Family history of diabetes." Family history of diabetes is not a known risk factor for skin cancer.
It is important to focus on factors related to skin cancer risk when educating patients.
Choice B rationale:
"Fair skin." Fair skin is a significant risk factor for skin cancer, particularly for non-melanoma skin cancers like basal cell carcinoma and squamous cell carcinoma.
Fair-skinned individuals have less melanin, which provides less protection against UV radiation.
Choice C rationale:
"History of sun exposure." A history of sun exposure, especially excessive or unprotected sun exposure, is a well-established risk factor for skin cancer.
UV radiation from the sun can damage skin cells and increase the risk of skin cancer development.
Choice D rationale:
"Regular exercise." Regular exercise is not a known risk factor for skin cancer.
It is important for overall health but does not directly contribute to the development of skin cancer.
Choice E rationale:
"High cholesterol levels." High cholesterol levels are not a known risk factor for skin cancer.
While cholesterol is a concern for cardiovascular health, it is not associated with skin cancer risk.
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