When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

Scale

Pustule

Macule

Papule

Answer and Explanation

The Correct Answer is B

A.   Scale refers to flakes of dead skin cells and is not typically used to describe acne lesions.
B.   Pustules are small, inflamed, pus-filled lesions, which are characteristic of acne.

C.   A macule is a flat, discolored spot on the skin and does not apply to the raised, pus-filled lesions seen in acne.
D.   A papule is a small, solid, raised lesion, but it is not filled with pus like a pustule. Acne lesions are often described as pustules when they contain pus.

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Correct Answer is ["B","D"]

Explanation

A. Tenderness in lymph nodes is not necessarily concerning. It may be due to inflammation or infection, which can cause the lymph nodes to be tender as they react to the presence of pathogens. Tenderness alone is not always indicative of a serious condition.
B. A hard lymph node is concerning because it may suggest malignancy or a chronic infection. Hard, firm, and rubbery nodes can be associated with cancers, such as lymphoma or metastasis from other cancers. Therefore, hard lymph nodes should be evaluated further.
C. Lymph nodes up to 1 cm (10 mm) can be considered normal, depending on the location and individual characteristics of the patient. A 4 mm lymph node is typically not concerning, especially if it is non- tender and mobile. Larger nodes, especially those over 1 cm, are more concerning.
D. Lymph nodes that are immovable or fixed to surrounding tissues are concerning and may suggest malignancy. Cancerous nodes tend to be harder, larger, and fixed in place, which makes them less mobile. Any immovable lymph node requires further investigation.
E. Non-palpable lymph nodes are normal and generally not a concern. Lymph nodes that are not palpable typically do not signify a problem, as they may be too small to be felt or located deep within the tissues.

A. Asymmetry of the lesions B. Red and black coloration C. Flat D. 8 mm in diameter E. Round edges

Correct Answer is ["A","B","D"]

Explanation

A. A lesion that is asymmetrical is concerning, as melanoma and other skin cancers tend to be irregular in shape. This is an important warning sign.
B. Red and black coloration in a lesion is concerning because it can indicate changes in blood flow or necrosis, both of which are suspicious for malignancy.
C. A flat lesion does not automatically indicate a problem, as many benign lesions, like moles, can be flat. The texture or elevation of the lesion is not always a concern unless there are other risk factors.
D. A lesion larger than 6 mm is concerning, especially if it is changing in size or shape. Larger lesions should be evaluated by a healthcare provider for potential malignancy.
E. Round edges are typically a characteristic of benign lesions, so this is not as concerning unless there are other warning signs present.

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When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?

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Naxlex Comprehensive Predictor Exams

When assessing lymph nodes on the face and neck, which of the following findings are concerning? Select all that apply.

Correct Answer is ["B","D"]

Explanation

When assessing a lesion on the skin, which of the following findings are concerning? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

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