A nurse is planning interventions for a patient with basal cell carcinoma. Which nursing intervention is appropriate for this patient?
Apply sunscreen with a high SPF regularly.
Administer chemotherapy as prescribed.
Recommend radiation therapy for treatment.
Encourage the patient to avoid atypical moles.
The Correct Answer is A
Choice A rationale:
Apply sunscreen with a high SPF regularly.
This statement is appropriate for a patient with basal cell carcinoma (BCC).
Sunscreen with a high sun protection factor (SPF) can help protect the skin from further UV radiation damage and reduce the risk of additional skin cancers, including BCC.
Choice B rationale:
Administer chemotherapy as prescribed.
Chemotherapy is not a primary treatment for BCC.
Surgical excision is the mainstay of treatment for BCC, and chemotherapy is typically reserved for advanced or metastatic cases of other types of cancer.
Choice C rationale:
Recommend radiation therapy for treatment.
Radiation therapy may be considered in some cases of BCC, but it is not typically the first-line treatment.
Surgical excision is the primary treatment choice for BCC, and radiation therapy may be used when surgery is not feasible.
Choice D rationale:
Encourage the patient to avoid atypical moles.
While it is essential to monitor and address any atypical moles or skin changes, this statement does not directly relate to the treatment of BCC.
BCC is primarily treated through surgical removal and other targeted therapies, not by avoiding atypical moles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The nurse should emphasize the importance of limiting sun exposure during peak hours to prevent skin cancer.
This is because the sun's rays are the strongest and most harmful between 10 a.m.
and 4 p.m.
By avoiding prolonged sun exposure during these hours, individuals can reduce their risk of UV radiation damage to their skin.
This is a crucial piece of advice in skin cancer prevention.
Choice B rationale:
Wearing dark-colored clothing does not protect individuals from UV radiation.
In fact, dark-colored clothing may absorb and retain more heat from the sun, making it less comfortable in hot weather.
The color of the clothing does not determine its effectiveness in protecting against UV rays.
Choice C rationale:
Tanning beds are not a safe alternative to natural sun exposure.
Tanning beds emit harmful UV radiation that can increase the risk of skin cancer, including melanoma.
The use of tanning beds is strongly discouraged in skin cancer prevention efforts.
Choice D rationale:
Using any sunscreen with SPF 15 or higher is not sufficient for adequate sun protection.
While sunscreen with SPF 15 can provide some protection, it may not offer adequate protection for prolonged sun exposure, especially in areas with intense sunlight.
SPF 30 or higher is generally recommended for better protection against UV radiation.
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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