Test: NCLEX

A 55-year-old client presents to clinic for a small slowly enlarging papular skin lesion on the right aspect of his nose that has been present for less than 6 months. The nurse is aware that sun exposed skin is susceptible to lesions that may become cancerous. The appearance of the lesion is consistent with a basal cell carcinoma.

1.

What is the best initial treatment for this type of lesion? 

Radiation and systemic chemotherapy

Excisional surgery with possible use of topical chemotherapy agents

No treatment is warranted at this time, the lesion should be observed for signs of overt changes.

Wide excision of tissue down to fascia

Ultraviolet radiation

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