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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. To prevent infection in burn wounds:
Analgesics like Dilaudid do not prevent infection; antibiotics and wound care do.

B. To promote wound healing in burn patients:
Pain control may aid indirectly, but opioids do not promote wound healing directly.

C. To decrease the risk of hypothermia in burn patients:
Hypothermia prevention involves warm blankets, warming devices, and fluid management-not PCA.

D. To provide controlled and individualized pain relief in burn patients:
PCA pumps allow patients to self-administer opioid analgesia, offering consistent, effective pain control with less risk of overdose when properly programmed.

A. Reddish brown dots at the base of hairs B. Large, fluid-filled blisters C. Gray blue macules on the thighs and axillae D. Short, wavy, brownish black lines

Correct Answer is D

Explanation

A. Reddish brown dots at the base of hairs:
Suggestive of lice/nits, not scabies.

B. Large, fluid-filled blisters:
Could indicate bullous impetigo or burns, not typical of scabies.

C. Gray blue macules on the thighs and axillae:
These may be seen in pubic lice, but not scabies.

D. Short, wavy, brownish black lines:
These are burrows made by the scabies mite, often seen in web spaces, wrists, or axillae.

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A nurse in the outpatient clinic is collecting data from a client who has psoriasis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is explaining to a family the benefit of a patient-controlled analgesia pump. Which of the following is an appropriate use of Dilaudid PCA for burn patients?

Correct Answer is D

Explanation

The nurse is caring for a patient with lesions on the skin. Which of the following assessment findings would cause the nurse to suspect scabies?

Correct Answer is D

Explanation

Which instructions should the nurse provide to the patient being treated with scabies?

A school nurse is completing routine health evaluations for school-age children. Which of the following manifestation should alert the nurse to the possibility of pediculosis capitis?

A physician orders IV normal saline solution to be infused at a rate of 150 mL/hr for a patient. How many milliliters of solution will the patient receive during an 8 hour shift. Express your answer to the nearest whole number

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A nurse is preparing to administer liquid mycostatin 600,000 units PO every 8 hr. Available is mycostatin 100,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

The nurse is taking care of a burn patient with deep partial-thickness burns. Which of the following factors can contribute to fluid imbalance in burn patients?

A nurse is caring for a client who has a large wound that has a vacuum-assisted closure device placed over it. Which of the following findings by the nurse indicates healing of the wound?