A nurse is assessing an adolescent client who has the parasitic infection scabies. Which of the following findings should the nurse expect?
Painful vesicles along a dermatome
Acneiform nodules on the face
Wheals surrounding raised bite marks
Raised, linear burrows
The Correct Answer is D
A) Painful vesicles along a dermatome:
This finding is typically associated with herpes zoster (shingles), not scabies. Shingles causes painful vesicles that follow the path of a nerve and are confined to one side of the body, which does not align with the presentation of scabies.
B) Acneiform nodules on the face:
Acneiform nodules are related to conditions such as acne vulgaris, not scabies. Scabies does not typically present with acne-like lesions on the face but rather with intense itching and a specific rash.
C) Wheals surrounding raised bite marks:
Wheals and bite marks are more indicative of insect bites or conditions like urticaria (hives). Scabies is caused by mites that burrow under the skin, leading to a different type of rash.
D) Raised, linear burrows:
Raised, linear burrows are characteristic of scabies. These burrows are caused by the female mite as it tunnels just under the skin to lay eggs, resulting in a distinctive rash and intense itching, especially at night.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Manic behavior: Hyperthyroidism can lead to manic or hyperactive behavior due to increased metabolic rate and overstimulation of the nervous system. This may present as irritability, anxiety, or restlessness, making manic behavior a relevant manifestation in this condition.
B) Deep, labored respirations: Hyperthyroidism generally does not cause deep, labored respirations. Instead, it may lead to increased respiratory rate due to heightened metabolic activity. Deep, labored respirations are more indicative of respiratory or cardiac issues rather than hyperthyroidism.
C) Bradycardia: Hyperthyroidism usually causes tachycardia (elevated heart rate) rather than bradycardia (slow heart rate). Tachycardia is a common symptom due to the increased metabolic rate and sympathetic nervous system activity associated with hyperthyroidism.
D) Cold intolerance: Cold intolerance is more characteristic of hypothyroidism, where there is decreased metabolic activity and reduced heat production. Hyperthyroidism typically causes heat intolerance due to the increased metabolic rate and elevated body temperature.
Correct Answer is D
Explanation
A) Potatoes: Potatoes are not particularly high in oxalates and can be included in the diet for individuals who have had calcium oxalate renal calculi. They do not significantly contribute to oxalate levels and are generally considered safe for those managing this type of kidney stone.
B) Mushrooms: While mushrooms are a nutritious food, they do not have a high oxalate content compared to other foods. Therefore, they are not a primary concern for individuals managing calcium oxalate stones.
C) Eggs: Eggs are low in oxalates and do not contribute significantly to the formation of calcium oxalate renal stones. They are a good source of protein and can be included in the diet.
D) Spinach: Spinach is high in oxalates and should be limited in the diet of individuals who have experienced calcium oxalate renal calculi. High oxalate foods can contribute to the formation of calcium oxalate stones, so limiting spinach can help reduce the risk of recurrence.
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