Answers
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 by the nurse is appropriate? - ✔️✔️-Melanomas
Rationale: 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 causes metastases in the bone, liver, lungs, spleen, the CNS, and
lymph nodes.
A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be
applied to her burn wounds. The nurse should evaluate the client for which of the
following laboratory findings? - ✔️✔️-Leukopenia
Rationale: Transient leukopenia is an adverse effect of silver sulfadiazine.
A nurse is assessing the skin of a client who has frostbite. The client has small blisters
that contain blood and the skin of the affected area does not blanch. The nurse should
classify this injury as which of the following? - ✔️✔️-Third-degree frostbite
Rationale: When a client has third-degree frostbite, the skin of the affected area has
small blisters that are blood filled and the skin does not blanch.
, A nurse is assessing a client who is bedridden and was admitted from home. The nurse
notes a shallow crater in the epidermis of the client's sacral area. The nurse should
document that the client has a pressure ulcer at which of the following stages? - ✔️✔️-
II
Rationale: With a stage II pressure ulcer, there is a partial-thickness skin loss involving
the epidermis and the dermis. The ulcer is visible and superficial and can appear as an
abrasion, blister, or shallow crater. Edema persists, and the ulcer might become
infected. The client might report pain, and there might be a small amount of drainage.
A nurse in a provider's office is assessing a client's skin lesions. The nurse notes that
the lesions are 0.5 cm (0.20 in) in size, elevated and solid, with very distinct borders.
The nurse should document the findings as which of the following skin lesions? - ✔️✔️-
Papules
Rationale: A papule is a small, solid elevated lesion with distinct borders. It is usually
smaller than 10 mm in diameter. Papules are common lesions of warts and elevated
moles.
A nurse is caring for a client whose wounds are covered with a heterograft dressing. In
response to the client's questions about the dressing, the nurse explains that it is
obtained from which of the following sources? - ✔️✔️-Pig skin
Rationale: Heterografts are obtained from an animal, usually a pig.