A young adult patient has come into a dermatology clinic and reports having had a single 1-in lesion that was scaly with a raised border and a pink center on the chest. Now, a little more than a week later, there are smaller matching spots of the rash on both sides of the chest. The nurse observes pink, oval-shaped spots that are 1⁄4 to 1⁄2 in across. What condition does the nurse suspect the health care provider will diagnose?
Pityriasis rosea
Herpes zoster virus
Herpes simplex type 1
Impetigo contagiosa
The Correct Answer is A
A. Pityriasis rosea typically starts with a single, larger "herald patch" followed by a rash with smaller, oval spots. The described pattern is characteristic of this condition.
B. Herpes zoster virus or shingles, usually presents with vesicular lesions in a dermatomal distribution, rather than scattered oval spots.
C. Herpes simplex type 1 generally causes oral lesions or cold sores, not the body rash described.
D. Impetigo contagiosa is a bacterial infection that typically causes honey-colored crusted sores and is not described as having a herald patch or oval spots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dermis. The dermis contains connective tissue, blood vessels, and other structures but not melanocytes.
B. Superficial fascia. The superficial fascia, or hypodermis, is primarily composed of fat and connective tissue and does not contain melanocytes.
C. Epidermis. Melanocytes are located in the basal layer of the epidermis, where they produce melanin.
D. Loose connective tissue. Loose connective tissue is found in various parts of the body but does not contain melanocytes responsible for skin pigmentation.
Correct Answer is D
Explanation
A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.
B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.
C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.
D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.
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