Cellulitis of the right lower extremity may present with which assessment finding?
Paresthesia of the right lower extremity
Delayed capillary refill time
Pallor of the right toes
Hot, tender edematous area
The Correct Answer is D
A. Paresthesia (numbness or tingling) is not a typical finding in cellulitis and may suggest nerve involvement or other conditions.
B. Delayed capillary refill time would indicate poor circulation or possible shock but is not a direct sign of cellulitis.
C. Pallor of the right toes could suggest circulatory issues but is not associated with cellulitis.
D. Cellulitis is an infection of the skin and underlying tissues, usually presenting with warmth (hot), tenderness, redness, and swelling (edema) at the site of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Strabismus refers to misalignment of the eyes, not an infection.
B. A hordeolum, also known as a stye, is an infection of a sebaceous gland, presenting as a painful, red nodule near the eyelid margin.
C. Blepharitis refers to inflammation of the eyelid and would present with redness or flaking, not a white nodule.
D. Conjunctivitis is inflammation of the conjunctiva, not an infection of a sebaceous gland.
Correct Answer is A
Explanation
A. Shivering is a common response to cold therapy (such as a hypothermia blanket) as the body attempts to maintain its core temperature. This can increase metabolic demands and oxygen consumption, which should be closely monitored.
B. Seizures are not typically associated with the use of hypothermia blankets unless there are underlying conditions that predispose to them.
C. Dehydration could occur with any prolonged therapy but is not the immediate concern with hypothermia blankets.
D. Burns are rare but could occur if the hypothermia blanket is not properly managed. Shivering is a more immediate concern.
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