During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion.
Pustule.
Macule.
Vesicle.
Cyst.
Cyst.
The Correct Answer is C
Choice A rationale
A pustule is an elevated, round lesion filled with pus, not serum. Pustules are commonly seen in acne or infections.
Choice B rationale
A macule is a flat, discolored area of the skin that is not elevated. Macules do not contain fluid and are often seen in conditions like freckles or flat moles.
Choice C rationale
A vesicle is an elevated, round lesion filled with clear serum. Vesicles can result from conditions such as chickenpox, herpes simplex, or dermatitis.
Choice D rationale
A cyst is an elevated, round lesion filled with semi-solid material or fluid. Cysts are typically deeper in the skin compared to vesicles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.
Choice B rationale
Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.
Choice C rationale
Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.
Choice D rationale
Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.
Correct Answer is C
Explanation
Choice A rationale
Cushing syndrome involves overproduction of cortisol and does not cause rapid urine output.
Choice B rationale
Adrenal crisis does not typically present with excessive urine output and would have other symptoms such as low blood pressure and electrolyte imbalances.
Choice C rationale
Arginine vasopressin deficiency (AVP-D), also known as diabetes insipidus, causes excessive urine output due to the lack of antidiuretic hormone (ADH).
Choice D rationale
Syndrome of inappropriate antidiuretic hormone (SIADH) causes water retention and low urine output, not excessive urine output. .
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