What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

Infrequent diaper changes

Impetigo (staph)

Candida albicans (yeast)

Urine and feces

Answer and Explanation

The Correct Answer is C

Choice A reason: Infrequent diaper changes can contribute to diaper rash, but the presence of satellite lesions suggests a yeast infection rather than a simple irritant rash.

Choice B reason: Impetigo, caused by staphylococcal or streptococcal bacteria, typically presents with honey-colored crusts and is not usually associated with satellite lesions.

Choice C reason: The description of bright red scaly plaques and satellite lesions is characteristic of a yeast infection, specifically caused by Candida albicans.

Choice D reason: While urine and feces can irritate the skin and cause diaper rash, the specific clinical findings mentioned point more towards a yeast infection.

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Correct Answer is C

Explanation

Choice A reason: Lifting and clearing drainage from the chest tube is not necessary unless there is a blockage, which is not indicated by the water level changes.
Choice B reason: Inspecting the tube insertion site for leaking is important but not related to the observation of water level changes in the water-seal chamber.
Choice C reason: This is the correct choice. The water level rising during inspiration and falling during expiration is a normal finding that indicates the chest tube is functioning properly.
Choice D reason: Auscultating lungs for unequal breath sounds is part of the assessment but does not address the observed water level changes in the water-seal chamber.

A. Severe fatigue. B. Palpable mass on the abdomen. C. Seizures. D. Hematuria.

Correct Answer is B

Explanation

Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.

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What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

Correct Answer is B

Explanation

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