What is a nurse planning care for a malignant melanoma patient?
A nurse is planning care for a client who has been admitted for treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the client for which of the following procedures? Curettage is used for small lesions that are not melanomas. Melanoma is resistant to radiation therapy.
What does malignant melanoma look like in nursing?
Oct 19, 2018 · A nurse is planning care for a client who has been admitted for treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the client for which of the following procedures? Curettage External radiation therapy Regional chemotherapy Surgical excision
What would place a client at risk for malignant melanoma?
A nurse is planning care for a client who has been admitted for treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the client for which of the following procedures? Surgical excision A nurse is caring for a client who has a lesion on the back of his right hand.
What is a community health nurse teaching about malignant melanoma?
A nurse is contributing to the plan of care for a client who has been admitted for the treatment of a malignant melanoma of the upper leg without mestasis. The nurse should expect the provider to perform which of the following procedures ? Surgical excision Surgical excision 60.
What is a nurse caring for?
A nurse is caring for a client who has burn injuries to his trunk. The nurse is explaining what to expect from the prescribed hydrotherapy. Which of the following statements by the client indicates an understanding of the teaching? "I will be on a special shower table.".
What is the warning sign of a mole?
Ulceration. Ulceration, bleeding, or exudation are indications of a mole's potential malignancy. Increasing size is also a warning sign. The nurse should emphasize the importance of lifetime follow-up evaluations and the proper techniques for self-examination of the skin every month.
What is a pearly papule?
Pearly papule with ulcerated center. Irregularly shaped lesion with blue tones. Irregularly shaped lesion with blue tones. Malignant melanomas are irregularly shaped and can be blue, red, or white in tone. They often occur on the client's upper back and lower legs.
How to treat a snake bite wound?
Apply a tourniquet to the affected limb. Use a sterile scapula to incise the wound. Apply ice to the skin over the snakebite wound. Immobilize the limb at the level of the heart. The emergency management of a client who has a snakebite focuses on limiting the spread of venom.
Can silver sulfadiazine be used on burn wounds?
The client might report pain, and there might be a small amount of drainage. A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to her burn wounds.
Can gentamicin cause kidney problems?
Impaired kidney function is an adverse effect of gentamicin. Hyperchloremia and other electrolyte imbalances can be adverse effects of mafenide acetate solution or cream. A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster.
What is a surgical incision?
Surgical incision. With primary intention, a clean wound is closed mechanically, leaving well-approximated edges and minimal scarring. A surgical incision is an example of a wound that heals by primary intention. A community health nurse is providing teaching about malignant melanoma to a group of clients.
What is a nurse caring for?
A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses should the nurse make? Melanomas. A nurse is assisting with the admission of a client who is bedridden and was admitted from home.
What is a nurse's job?
A nurse is assisting with the admission of a client who is bedridden and was admitted from home. The nurse notes a shallow crater in the epidermis of the clients sacral area.
What is the importance of psychological support during melanoma surgery?
Support includes allowing patients to express feelings about the seriousness of this cutaneous neoplasm, understanding their anger and depression, and conveying understanding of these feelings. During the diagnostic workup and staging of the depth, type, and extent of the tumor, the nurse answers questions, clar-ifies information, and helps clarify misconceptions. Learning that they have a melanoma can cause patients considerable fear and anguish. Pointing out patients’ resources, past effective coping mechanisms, and social support systems helps them to cope with the problems associated with diagnosis, treatment, and continuing follow-up. The patient’s family should be included in all discus-sions to clarify the information presented, ask questions that the patient might be reluctant to ask, and provide emotional support.
What is the role of a nurse in metastatic disease?
The role of the nurse in caring for the patient with metastatic disease is holistic. The nurse must be knowledgeable about the most effective current therapies and must deliver supportive care, provide and clarify information about the therapy and the ratio-nale for its use, identify potential side effects of therapy and ways to manage them, ...
How thick is a melanoma?
The prognosis for malignant melanoma is related to metastasis: the deeper and thicker (more than 4 mm) the melanoma, the greater is the likelihood of metastasis. If the melanoma is grow-ing radially (ie, horizontally) and is characterized by peripheral growth with minimal or no dermal invasion, the prognosis is fa-vorable. ...
Where is melanoma removed?
Surgical removal of melanoma in different locations (eg, head, neck, eye, trunk, abdomen, extremities, central nervous system ) presents different challenges, taking into consideration the re-moval of the primary melanoma, the intervening lymphatic vessels, and the lymph nodes to which metastases may spread.
What is nursing care?
Nursing care is based on the patient’s symptoms. Although the chance of a cure for malignant melanoma that has metastasized is poor, the nurse encourages the patient to have hope in the therapy employed while maintaining a realistic per-spective about the disease and ultimate outcome.
Where do melanomas occur?
Common sites of melanomas are the skin of the back, the legs (especially in women), between the toes, and on the feet, face, scalp, fingernails, and backs of hands. In dark-skinned people, melanomas are most likely to occur in less pigmented sites: palms, soles, subungual areas, and mucous membranes. Satellite lesions (ie, those situated ...
Does melanoma have a poor prognosis?
Lesions with ulceration have a poor prognosis. Melanomas of the trunk appear to have a poorer prognosis than those of other sites , perhaps be-cause the network of lymphatics in the trunk permits metastasis to regional lymph nodes. The role of the nurse in caring for the patient with metastatic disease is holistic.
What is the best treatment for malignant melanoma?
The therapeutic approach to malignant melanoma depends on the level of invasion and the depth of the lesion. Surgical excision is the treatment of choice for small, superficial lesions. Deeper lesions require wide local excision, followed by skin grafting.
What is a malignant melanoma?
Malignant melanomas are irregularly shaped and can be blue, red, or white in tone. They often occur on the client’s upper back and lower legs. A nurse is contributing to the plan of care for a client who has been admitted for treatment of a malignant melanoma of the upper leg without metastasis.
Does potassium help with wound healing?
Potassium. Potassium is necessary for muscle activity and fluid balance; however, it does not specifically promote wound healing. A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious.
What is hydrotherapy table?
Hydrotherapy is a special shower table that facilitates examination and debridement of the wound. An advantage of using the showering technique as opposed to a tub bath is that the water can be kept at a constant temperature and there is a lower risk of wound infection. b.
Is melanoma a cancer?
Melanomas. CORRECT. Melanomas are malignant neoplasms with atypical melanocytes in both the epidermis, the dermis, and sometimes the subcutaneous cells. It is the most lethal type of skin cancer, often causing metastases in the bone, liver, lungs, spleen, the CNS, and lymph nodes.
What is primary intention wound?
With primary intention, a clean wound is closed mechanically, leaving well-approximated edges and minimal scarring. A surgical incision is an example of a wound that heals by primary intention. d. Dehisced sternal wound. A dehisced sternal wound can either close by secondary or tertiary intention.
Is squamous cell carcinoma metastatic?
Squamous cell carcinomas. Squamous cell carcinomas arise from the epidermis and are potentially metastatic; however, they are not the most lethal type of skin cancer. A nurse is assisting with the admission of a client who is bedridden and was admitted from home.