A nurse in the outpatient clinic is collecting data from a client who has psoriasis. Which of the following findings should the nurse expect?
Intense pain
Lesions along the pathways of nerve endings
Serous drainage
Silvery, white scales
The Correct Answer is D
A. Intense pain:
Psoriasis can be itchy or mildly sore, but intense pain is not characteristic unless lesions are cracked/infected.
B. Lesions along the pathways of nerve endings:
Describes herpes zoster, not psoriasis.
C. Serous drainage:
Psoriatic lesions are typically dry unless secondarily infected.
D. Silvery, white scales:
Classic sign of psoriasis - raised, red patches with a silvery scale.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Deep partial thickness:
Involves blistering and damage to the dermis, which is more severe than sunburn.
B. Superficial partial thickness:
Involves blistering, typical of scalds or more intense burns-not most sunburns.
C. Superficial thickness:
Severe sunburn affects only the epidermis, with redness, pain, and no blistering-this is superficial.
D. Full thickness:
Involves entire skin layers and sometimes muscle, which is not consistent with sunburn.
Correct Answer is D
Explanation
A. Assist the client with physical therapy exercises:
May be useful postoperatively or in metastatic cases, but not a priority intervention specific to melanoma.
B. Administer pain medication as ordered:
Important if there's pain, but melanomas are often painless. This is supportive, not specific.
C. Monitor for signs of infection:
More relevant post-surgery or chemotherapy, not specific to melanoma management.
D. Educate the client about the importance of sun protection and skin checks:
Prevention and early detection are essential for reducing recurrence and catching new melanomas early.
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