Nurse Chael is performing a skin assessment on a new resident in a long-term care facility. Which finding is of most concern?
A. All the toenails are thickened and yellow.
B. Silver scaling is present on the elbows and knees.
C. An irregular border is seen on a black mole on the scalp.
D. Numerous striae are noted across the abdomen and buttocks.
Correct Answer: C. An irregular border is seen on a black mole on the scalp.
Irregular borders and a black mole or variegated color are characteristics associated with malignant skin lesions.
Options A and D: Striae and toenail thickening are common with elderly individuals.
Option B: Silver scaling is associated with psoriasis, which may need treatment but is not as urgent a concern as the appearance of the mole.
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