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 surveying employees to determine how often hand cleansers are used during client care can provide some insight into the adherence to the program, it does not directly measure the effectiveness of the program in reducing hospital-acquired infections.
Choice B rationale
Comparing the incidence of infections before and after the program’s implementation is the most direct and reliable measure of the program’s effectiveness. A significant reduction in the
rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.
Choice C rationale
Observing a random sample of employees washing their hands three weeks after the program starts can provide information about the employees’ compliance with the handwashing techniques taught in the program. However, this measure does not directly indicate whether the program has been effective in reducing the incidence of hospital-acquired infections.
Choice D rationale
Using an experimental design to compare program participants with a control group could provide valuable data on the program’s effectiveness. However, this method might not be feasible or ethical in a healthcare setting, as it would involve deliberately withholding the program from the control group.
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
Staying with someone for 10 hours post-injection is not a standard recommendation after receiving the Hepatitis B Vaccine (HBV). The vaccine is generally well-tolerated, and serious side effects are rare.
Choice B rationale
While it can be comforting to have a family member present during medical procedures, it is not necessary for the final injection of the HBV series.
Choice C rationale
While it is important to encourage vaccination among all eligible individuals, the immediate concern after healthcare workers receive the HBV is not about their family members’ vaccination status.
Choice D rationale
Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.
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