Jason is a 26-year-old male that presents

Jason is a 26-year-old male that presents to the urgent care clinic after receiving a laceration to his arm from a metal roofing sheet while on the job. You notice that he is sunburned, has scattered freckles and moles, red hair, and blue eyes. After the laceration is sutured, you ask Jason about his last tetanus immunization. He states, “I can’t remember. I haven’t had a shot since I was a teenager.” Jason’s wife arrives and is sitting at his bedside when you come in to check on him. She asks if you would have someone check the “nasty mole on his back.” The wife tells you she has been after him for weeks to have it checked, but he always forgets to make an appointment. She is worried as Jason’s father had skin cancer. What is the recommended schedule for tetanus immunizations in an adult? Should Jason receive a tetanus immunization at this visit? Why? What other questions would you ask during your health history? After examining Jason’s mole, what should you document about its appearance? What abnormal characteristics of a skin lesion would you look for when examining Jason’s mole?

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