Question: The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instruction(s) should the nurse provide? Select all that apply.
1. Use sunscreen when participating in outdoor activities.
2. Wear a hat, opaque clothing, and sunglasses when in the sun.
3. Avoid sun exposure in the late afternoon and early evening hours.
4. Examine your body monthly for any lesions that may be suspicious.
5. Sunscreen should be applied every 8 hours.
Answer: 1, 2, 4
Rationale: The client should be instructed to avoid sun exposure between the hours of 10 AM and 4 PM. Sunscreen, a hat, opaque clothing, and sunglasses should be worn for outdoor activities. The client should be instructed to examine the body monthly for the appearance of any possible cancerous or any precancerous lesions. Sunscreen should be reapplied every 2 to 3 hours and after swimming or sweating; otherwise, the duration of protection is reduced.
Test-Taking Strategy: Use the process of elimination and note the strategic words a need for further instructions. These words indicate a negative event query and ask you to select an option that is an incorrect statement. Note the strategic word avoid in option 1 to help direct you to this option. Review client teaching points for the prevention of skin cancer if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Adult health—integumentary
Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care. (6th ed., p. 511). St. Louis: Saunders.
This week’s NCLEX exam practice question can be found in:
Silvestri: Saunders Comprehensive Review for the NCLEX-RN Examination, 5th edition, Chapter 51, Question 529
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