A student at an elementary school health fair reports having itchy circles on the lower legs. Which skin assessment finding should the nurse prioritize for immediate intervention?
Patches of round lesions on both lower legs.
Red ring-shaped lesions with normal skin in the center.
Itchy, red, scaly patches with blisters that are draining.
Several irritated circular bald, flaky scalp patches.
The Correct Answer is C
Answer and explanation
The correct answer is C.
Choice A rationale
Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.
Choice B rationale
Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.
Choice C rationale
Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.
Choice D rationale
Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
While practicing safe sex can significantly reduce the risk of sexually transmitted infections (STIs), it does not completely eliminate the risk. Condoms, for example, can protect against many STIs, but they are not 100% effective and do not protect against all types of STIs.
Choice B rationale
Informing sexual partners about a gonorrhea diagnosis is crucial. Gonorrhea is a highly contagious infection that can be transmitted through sexual contact. If a person has been
diagnosed with gonorrhea, their sexual partners may also be at risk and should be informed so they can seek testing and treatment if necessary.
Choice C rationale
It’s important to understand that STIs, including gonorrhea, can be asymptomatic, meaning they do not present any symptoms. Therefore, even if a partner does not have similar symptoms, they could still be infected.
Choice D rationale
Not all STIs are transmitted through sexual intercourse. Some STIs can be transmitted through non-sexual means. For example, HIV can be transmitted through sharing needles, and mother- to-child transmission can occur during childbirth or breastfeeding.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.
Choice B rationale
While it’s important to identify personal contacts in the case of some infectious diseases, anthrax is not spread from person to person. Therefore, identifying personal contacts over the past week would not necessarily help to rule out exposure to anthrax spores.
Choice C rationale
A twenty-four-hour diet history would not typically be useful in ruling out exposure to anthrax spores. Anthrax is not usually spread through food or water.
Choice D rationale
Inquiring about previous vaccination for smallpox would not help to rule out exposure to anthrax spores. Smallpox and anthrax are caused by different organisms, and the smallpox vaccine does not provide protection against anthrax.
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