A nurse in a provider's office is caring for a client who has a new diagnosis of tinea pedis, which of the following findings should the nurse expect?
Circular, erythematous patches on the scalp
Scaling and redness between the client's toes
Report of recent exposure to poison ivy
Report of a recent prescription for an antiseizure medication
The Correct Answer is B
Choice A rationale: Circular, erythematous patches on the scalp are more indicative of tinea capitis, a fungal infection affecting the scalp, and not tinea pedis.
Choice B rationale: Tinea pedis, commonly known as athlete's foot, typically presents with symptoms such as scaling, redness, and itching between the toes. It is a fungal infection affecting the feet.
Choice C rationale: Poison ivy exposure would result in contact dermatitis, characterized by a rash and blistering, rather than the typical presentation of tinea pedis.
Choice D rationale: Antiseizure medications are not typically associated with the development of tinea pedis; the symptoms described are more consistent with a fungal infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Phototherapy can sometimes cause sensitivity to light, and wearing dark glasses can help protect the eyes from excessive light exposure.
Choice B rationale: It is not typical to interrupt phototherapy due to redness and tenderness, as some skin reactions may occur during treatment but can be managed without interruption.
Choice C rationale: The schedule of phototherapy can vary, and the choice of days on and off may not necessarily be fixed in a three-day pattern.
Choice D rationale: The frequency and timing of phototherapy sessions depend on the specific treatment plan prescribed by the healthcare provider.
Correct Answer is D
Explanation
Choice A rationale: pruritus is one of the symptoms of malignant melanoma, as well as changes in the shape, size, color, or texture of a mole or other skin lesion. However, pruritus is not specific to the disease and should always serve as a clue prompting further examination.
Choice B rationale: pain is a very rare symptom in malignant melanoma especially during the early stages of the disease. However, pain may occur in advanced stages of the disease when deeper tissues have been invaded and in cases of metastasis to distant sites.
Choice C rationale: purulent discharge is an indication of an underlying infection rather than malignant melanoma.
Choice D rationale: purplish skin discoloration is common in Kaposi’s sarcoma which manifests as purplish skin nodules rather than malignant melanoma. Furthermore, it may suggest bruising or bleeding under the skin. Malignant melanoma can have various colors, such as black, brown, red, blue, or white, depending on the type and amount of melanin produced by the tumor cells.
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