Situation: Marisol, a 58-year-old woman, presents to the outpatient dermatology clinic after noticing a changing spot on her upper back for the past 3 months. Background: She has a history of significant sun exposure from working outdoors for 20 years and reports a family history of skin cancer. Assessment: The nurse observes a lesion that is approximately 8 mm in diameter with uneven coloring ranging from tan to dark brown and black. The border appears irregular and notched on one side. Recommendation: The dermatologist has been notified and will assess the client. Which additional finding, if present, would most increase the nurse's concern that this lesion requires urgent evaluation for melanoma?
- The lesion has grown and the client reports it occasionally bleeds spontaneously.
- The lesion has a smooth, raised, dome-shaped surface with a uniform dark color.
- The client reports the lesion has been present and unchanged since childhood.
- The lesion is located in an area not typically exposed to sunlight.