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NCLEX · General

What key health teaching should the nurse provide about skin cancer prevention?

Correct answer

Use sunscreen SPF 30+ and reapply every 2 hours when outdoors; seek shade 10 AM - 4 PM; wear protective clothing and hat; avoid tanning beds; perform monthly skin self-examination; annual skin exam by a provider for high-risk individuals

  1. A Sun exposure is healthy and doesn't need to be limited
  2. B Use sunscreen SPF 30+ and reapply every 2 hours when outdoors; seek shade 10 AM - 4 PM; wear protective clothing and hat; avoid tanning beds; perform monthly skin self-examination; annual skin exam by a provider for high-risk individuals
  3. C Only use sunscreen at the beach
  4. D Skin cancer only affects people with light skin tones

Why this is the answer

SKIN CANCER PREVENTION: Skin cancer is the most common cancer in the US — over 5 million cases annually. PREVENTION TEACHING: SUNSCREEN: SPF 30 or higher; reapply every 2 hours (not just once in the morning); broad-spectrum (UVA + UVB protection); apply 15-30 minutes before sun exposure; don't forget ears, neck, back of hands; PROTECTIVE CLOTHING: Long sleeves, hat with brim; tightly woven fabric; UV-protective clothing; SHADE: Peak UV hours are 10 AM to 4 PM; TANNING BEDS: Increase melanoma risk by 75% when used before age 35; SELF-EXAMINATION: Monthly — know the ABCDEs of melanoma: Asymmetry, Border irregularity, Color variation, Diameter >6mm, Evolution (change); DISPELLING MYTHS: All skin tones can develop skin cancer; darker-skinned people have better (but not complete) UV protection; tanning is skin damage.
Source: NCLEX-PN, Skin Cancer Prevention Teaching

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