The risk for skin damage from the sun is highest with exposure between 10 AM and 2 PM. No sunscreen is completely water resistant. Sunscreens classified as water resistant sunscreens still need to be reapplied after swimming. Sunscreen with an SPF of at l
Try to stay out of the sun between the hours of 10 AM and 2 PM (regular time).
Water resistant sunscreens will provide good protection when swimming.
Increase sun exposure by no more than 10 minutes a day to avoid skin damage.
Use a sunscreen with an SPF of at least 8 to 10 for adequate protection.
The patient should stay out of the sun. If that is not possible, teach them to wear sunscreen when taking medications that can cause photosensitivity. The other statements are not accurate.
Photosensitivity may result in an artificial-looking tan appearance.
Sun exposure may decrease the effectiveness of the medication.
Use a sunscreen with a high SPF when exposed to the sun.
Wear sunglasses to avoid eye damage while taking this medication.
BCC is frequently associated with sun exposure and preventive measures should be taken for future sun exposure. BCC spreads locally, and does not metastasize to distant tissues. Since BCC can cause local tissue destruction, treatment is indicated. Local (
Minimizing sun exposure will reduce risk for future BCC.
Treatment plans include watchful waiting.
Screening for metastasis will be important.
Low dose systemic chemotherapy is used to treat BCC.
Because the appearance of the lesion suggests actinic keratosis or possible squamous cell carcinoma (SCC), the appropriate treatment would be excision and biopsy. Over-the-counter (OTC) corticosteroids, topical antibiotics, and Retin-A would not be used f
Teach about the use of corticosteroid creams.
Prepare the patient for a biopsy.
Explain how to apply tretinoin (Retin-A) to the face.
Discuss the need for topical application of antibiotics.
Because the only risk factor that the patient can change is the use of a tanning booth, the nurse should focus teaching about melanoma prevention on this factor. The other factors also will contribute to increased risk for melanoma.
The patient’s mother died of a malignant melanoma.
The patient has multiple dysplastic nevi.
The patient is fair-skinned and has blue eyes.
The patient uses a tanning booth throughout the winter.
The treatment for impetigo includes softening of the crusts with warm saline soaks and then soap-and-water removal. Alcohol-based cleansers and use of petroleum jelly are not recommended for impetigo. Antibiotic ointments, such as mupirocin (Bactroban), m
Avoid use of antibiotic ointments on the lesions.
Clean the infected areas with soap and water.
Apply alcohol-based cleansers on the lesions.
Use petroleum jelly (Vaseline) to soften crusty areas.
The appearance of the lesions is consistent with an oral candidiasis (thrush) infection, which can occur in patients who are taking medications such as immunosuppressants or antibiotics. Candidiasis is not associated with poor oral hygiene or lower respir
“How often do you brush your teeth?”
“Are you taking any medications at present?”
“Have you ever had an oral herpes infection?”
“Do you have a productive cough?”
Pediculosis is characterized by wheal-like lesions with parasites that attach eggs to the base of the hair shaft. The other descriptions are more characteristic of other types of skin disorders.
Patchy areas of alopecia with small vesicles and excoriated areas
Papular, wheal-like lesions with white deposits on the hair shaft
Ringlike rashes with red, scaly borders over the entire scalp
Red, hivelike papules and plaques with sharply circumscribed borders
Topical 5-FU causes an initial reaction of erythema, itching, and erosion that lasts 4 weeks after application of the medication is stopped. The medication is topical, so there are no systemic effects such as increased infection risk, anorexia, or nausea.
“5-FU will shrink the lesion so that less scarring occurs once the lesion is excised.”
“Your cheek area will be painful and develop eroded areas that will take weeks to heal.”
“You will need to avoid crowds because of the risk for infection caused by chemotherapy.”
“You may develop nausea and anorexia, but good nutrition is important during treatment.”
Thinning of the skin indicates that atrophy, a possible adverse effect of topical corticosteroids, is occurring. The health care provider should be notified so that the medication can be changed or tapered. Alopecia, red-brown discoloration, and dryness/s
Reddish-brown discoloration of the skin
Thinning of the affected skin
Alopecia of the affected areas
Dryness and scaling in the areas of treatment
The eyes should be shielded from UV light (UVL) during and after PUVA therapy to prevent the development of cataracts. The patient should be taught about the effects of UVL on unaffected skin, but lead-lined drapes, use of antiseptic soap, and petroleum j
Shield any unaffected areas with lead-lined drapes.
Apply petroleum jelly to the areas surrounding the psoriatic lesions.
Cleanse the skin carefully with an antiseptic soap.
Have the patient use protective eyewear while receiving PUVA.
The description of the mole is consistent with malignancy, so excision and biopsy are indicated. Curettage and cryosurgery are not used if malignancy is suspected. A punch biopsy would not be done for a lesion greater than 5 mm in diameter.
Warm water and moisturizing soap will avoid overdrying the skin. Because older patients have dryer skin, daily bathing and shampooing are not necessary and may dry the skin unnecessarily. Antibacterial soaps are not necessary. Lotions should be applied wh
Use antibacterial soaps when bathing to avoid infection.
Use warm water and a moisturizing soap when bathing.
Bathe and wash hair daily with soap and shampoo.
Dry the skin thoroughly before applying lotions.
Careful hand washing and the safe disposal of soiled dressings are the best means of preventing the spread of skin problems. Sterile glove and sterile saline use during wound care will not necessarily prevent spread of infection. Applying antibiotic ointm
Soak the dressing in sterile normal saline.
Wash hands and properly dispose of soiled dressings.
Change the dressing using sterile gloves.
Apply antibiotic ointment over the wound.
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