A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer? (Select all that apply.)

A. Pinnae of the ears are one of the most reliable sites for detecting cyanosis in individuals with dark skin, as the color changes are more apparent in the mucous membranes and earlobes.
B. Dorsal surface of the hand may not reliably show cyanosis in darker skin tones, and it’s often less
visible.
C. Dorsal surface of the foot is not typically where cyanosis would be identified.
D. Conjunctivae can be used for detection in individuals with darker skin, but it is typically harder to visualize than the pinna.

A. The potassium level of 3.6 mEq/L is within the normal range (3.5 to 5 mEq/L), so there is no immediate concern. There is no abnormality in this lab value that needs to be addressed in this context.
B. The client's prealbumin level is 10 mg/dL, which is below the normal range (15 to 36 mg/dL). This is concerning as it indicates poor nutritional status, which can affect wound healing. Prealbumin is a sensitive indicator of nutritional status and is important in assessing the client's ability to heal from a pressure injury.
C. The client's history of diabetes mellitus is significant in this case. Diabetes can affect circulation, impair wound healing, and increase the risk of infections. Poor blood sugar control can contribute to delayed wound healing, so this is an important factor to consider.
D. While hyperlipidemia can contribute to cardiovascular issues, it is less directly related to wound healing in this case compared to diabetes mellitus. Although important to manage, it is not the most pressing issue in this context.

E. At this time, the wound shows no signs of infection. The surrounding skin is inflamed and red, which could be a sign of irritation or early pressure injury development, but there is no indication of infection (such as purulent drainage, increased pain, or fever) noted in the nursing notes.
F. The client's pedal pulse in the left foot is weak (1+), which indicates decreased perfusion to that extremity. Impaired circulation is a concern, especially in a client with diabetes, as it can further complicate wound healing. This is a critical factor to monitor closely.
G. The client's fasting blood glucose is elevated at 186 mg/dL, above the normal range (74 to 106 mg/dL). Elevated blood glucose levels can impair wound healing and increase the risk of infection, particularly in a client with diabetes.