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When performing a review of systems, the nurse obtains subjective data concerning a dark colored spot on the patient’s skin.

What specific questions will assist the nurse in determining the cause of the abnormalities
With your answer, how will you address the cause of the abnormality through assessment?

1 Answer

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Final answer:

When a nurse assesses a dark spot on a patient's skin, specific questions regarding the spot's history and characteristics using the ABCDE mnemonic—Asymmetry, Borders, Color, Diameter, Evolution—are imperative. These aid in differentiating between benign and potentially malignant lesions, ensuring timely diagnosis and management.

Step-by-step explanation:

Identifying Skin Abnormalities:

When performing a review of systems and assessing skin abnormalities such as a dark colored spot on the patient's skin, it is crucial to gather subjective data that can guide further clinical investigation. The nurse may ask specific questions relating to the history, changes, and physical characteristics of the lesion. Significant factors include the duration of the spot's presence, any changes in size or color, and associated symptoms such as itching or bleeding.

The term that refers to the red streaks often seen on a patient's skin is linear erythema. This condition may be caused by an infection or inflammation spreading through the lymphatic system.

To address the cause of the skin abnormality through assessment, the nurse should apply the ABCDE mnemonic for skin assessment:

  • Asymmetry - Checking if the two halves of the spot do not match.
  • Borders - Observing if the edges are irregular.
  • Color - Noting if there are varied shades within the spot.
  • Diameter - Measuring the size of the lesion.
  • Evolution - Asking about any changes in the lesion over time.

These assessments can help to differentiate between benign moles and potential skin cancers such as melanoma. More erratic features typically suggest a higher risk and warrant further examination and possibly a biopsy.

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