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    Ati lpn med surg integumentary test proctored exam
    Select All That Apply

    A nurse is reinforcing teaching with a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma (BCC). Which of the following treatments should she include in the teaching? (Select all that apply).

    Explanation & Rationale

    A. Cryosurgery is a common treatment for small, superficial basal cell carcinomas. Liquid nitrogen is applied to freeze and destroy cancerous tissue. It is minimally invasive and usually performed in an outpatient setting, making it an appropriate option for teaching. B. Electrodessication (combined with curettage) involves scraping the tumor followed by electrical cauterization to destroy remaining cancer cells. This method is effective for superficial or small BCC lesions and is widely used in dermatologic practice. C. Mohs micrographic surgery is a tissue-sparing procedure that removes cancer layer by layer while examining each layer under a microscope. It is particularly effective for recurrent, large, or cosmetically sensitive BCCs, ensuring complete tumor removal with minimal damage to surrounding tissue. D. Photochemotherapy (also known as PUVA therapy) is primarily used for psoriasis, vitiligo, or cutaneous T-cell lymphoma, not basal cell carcinoma. This treatment is not effective for BCC and should not be included in teaching for standard treatment options. E. Radiation therapy may be used for clients who are not good surgical candidates, have large or difficult-to-reach tumors, or for adjunctive treatment in select cases. While surgery is often preferred, radiation is a valid treatment option for basal cell carcinoma.

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