A client with a suspected Fungal Skin Infection presents with circular, erythematous, scaly patches with a raised border.
Which statement accurately describes this presentation?
"I have noticed clear central areas in these patches.".
"I have blisters and fissures in the affected area.".
"I have red, inflamed patches with satellite lesions.".
"I have white, curd-like discharge in the affected area.".
The Correct Answer is A
Choice A rationale:
The description of circular, erythematous, scaly patches with a raised border and clear central areas is a classic presentation of tinea corporis (ringworm), a fungal skin infection.
The central clearing is a distinctive feature of this infection, as the fungus tends to spread outward from the center, leaving the central area relatively unaffected.
This presentation is not typically seen in other fungal skin infections like tinea pedis (athlete's foot).
Choice B rationale:
Blisters and fissures are not typically associated with the presentation of circular, erythematous, scaly patches with a raised border in tinea corporis.
These symptoms are more commonly seen in tinea pedis (athlete's foot) or other types of fungal skin infections.
Choice C rationale:
Red, inflamed patches with satellite lesions are more characteristic of a bacterial skin infection, such as cellulitis, rather than a fungal infection like tinea corporis.
Fungal infections tend to present with scaling and a distinct border rather than widespread inflammation.
Choice D rationale:
White, curd-like discharge is a symptom more commonly associated with yeast infections, such as candidiasis, rather than fungal skin infections like tinea corporis.
Tinea corporis typically presents with scaly, erythematous patches and is caused by dermatophyte fungi.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
When assessing a patient with a fungal skin infection, the nurse should prioritize checking for signs of secondary infection.
Secondary bacterial infections can occur in areas affected by fungal infections, especially if the skin barrier is compromised due to itching, scratching, or fissures.
Signs of secondary infection may include increased redness, warmth, tenderness, pus, or the presence of cellulitis.
Identifying and addressing secondary infections is crucial for appropriate patient management.
Choice B rationale:
Assessing the patient's medical history is an important aspect of the assessment but may not be the top priority when evaluating a patient with a fungal skin infection.
While medical history can provide valuable information about predisposing factors, such as diabetes or immunosuppression, and previous fungal infections, it should be conducted after the initial assessment of the affected area to guide treatment decisions.
Choice C rationale:
Documenting the extent of itching is relevant but not the top priority
Correct Answer is B
Explanation
Choice A rationale:
Elevated blood pressure is not a common complication of fungal skin infections.
It is more relevant to conditions like hypertension and cardiovascular diseases, which are unrelated to fungal skin infections.
Choice B rationale:
Secondary bacterial infections are a potential complication of fungal skin infections.
The breakdown of the skin barrier due to fungal infection can make the area susceptible to bacterial invasion, leading to secondary infections.
Choice C rationale:
Respiratory distress is not a typical complication of fungal skin infections.
It is more commonly associated with respiratory conditions like asthma or pneumonia.
Choice D rationale:
Gastrointestinal bleeding is not a direct complication of fungal skin infections.
It is more relevant to gastrointestinal disorders and conditions such as ulcers or gastritis.
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