When providing education on Tinea capitis, what information should the nurse include?
Central clearing is a prominent indicator of this condition.
Lesions may extend to hairline or neck.
Transmission mostly occurs from dogs.
Appearance is usually unilateral.
The Correct Answer is B
The correct answer is choice B: Lesions may extend to hairline or neck.
Choice A rationale:
Central clearing is not a prominent indicator of Tinea capitis. Tinea capitis is a fungal infection of the scalp and hair shafts, commonly caused by dermatophytes like Trichophyton species. The characteristic features include scaling, erythema, pustules, and hair loss. Unlike some other fungal infections, Tinea capitis does not typically have central clearing.
Choice B rationale:
Lesions extending to the hairline or neck is a correct aspect to include in education about Tinea capitis. The infection usually starts as small, scaly patches on the scalp and can progress to larger areas. It can extend to the hairline, neck, and even eyebrows and eyelashes. This is important information to convey to ensure proper recognition and timely treatment.
Choice C rationale:
Transmission of Tinea capitis mostly occurs from human-to-human rather than from dogs. While some animals can carry fungal infections that affect the skin, Tinea capitis is primarily spread through direct contact with an infected person or contaminated objects like combs, hats, and pillows.
Choice D rationale:
The appearance of Tinea capitis is not usually unilateral. This condition often presents with multiple, scattered areas of involvement on the scalp. It can cause varying degrees of inflammation, scaling, and hair loss in different areas, which may not follow a unilateral pattern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Give small amounts of favorite fluids frequently to prevent dehydration.
Choice A rationale:
Having the child wear heavy clothing to prevent chilling is not an appropriate nursing intervention for an infant with an elevated temperature. Infants are more susceptible to temperature regulation issues, and heavy clothing could exacerbate their discomfort and potentially raise their body temperature further.
Choice B rationale:
Giving tepid water baths to reduce fever is not recommended for fever management in infants. Tepid baths might cause discomfort and shivering, which could lead to increased heat production and potential elevation of body temperature.
Choice C rationale:
Encouraging food intake to maintain caloric needs is important, but it might not be well-tolerated by an infant with an elevated temperature and upper respiratory tract infection. Infants often have reduced appetite during illness.
Choice D rationale:
Giving small amounts of favorite fluids frequently to prevent dehydration is an appropriate nursing intervention. Fever and elevated temperature can lead to increased fluid loss through sweating and increased respiratory rate. Offering small, frequent fluid intake helps maintain hydration and prevent dehydration. Using favorite fluids can also encourage the child to drink more.
Correct Answer is C
Explanation
The correct answer is choice C. Activity intolerance related to generalized weakness.
Choice A rationale:
Risk for injury related to depressed sensorium. This choice is not the most appropriate nursing diagnosis for a child with moderate anemia. While anemia can lead to fatigue and weakness, the main concern is the child's ability to tolerate physical activities, not the risk of injury due to a depressed sensorium.
Choice B rationale:
Decreased cardiac output related to abnormal hemoglobin. This choice is not the most suitable nursing diagnosis for a child with moderate anemia. While abnormal hemoglobin levels can affect cardiac output, moderate anemia typically doesn't lead to such a significant decrease in cardiac output that it becomes the primary nursing diagnosis. Activity intolerance is a more relevant concern.
Choice C rationale:
Activity intolerance related to generalized weakness. This is the most appropriate nursing diagnosis for a child diagnosed with moderate anemia. Moderate anemia results in a decrease in oxygen-carrying capacity, leading to generalized weakness and reduced ability to perform physical activities without becoming fatigued. The child's hemoglobin levels are likely low enough to cause noticeable activity intolerance.
Choice D rationale:
Risk for Injury related to dehydration and abnormal hemoglobin. This choice is not the best nursing diagnosis for a child with moderate anemia. Dehydration may exacerbate the effects of anemia, but the primary issue here is the anemia itself causing weakness and activity intolerance, which are better addressed with the choice C diagnosis.
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