A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Scaly lesions on the inner thighs
Rash with red macular lesions on the scalp
Bull's eye edematous area on the groin
Maculopapular skin burrows on the hand
The Correct Answer is D
Rationale:
A. Scaly lesions on the inner thighs are not typically characteristic of scabies. Scabies lesions are often burrow-like and appear as small, raised, grayish-white or skin- colored lines, not scaly.
B. A rash with red macular lesions on the scalp is not characteristic of scabies.
Scabies lesions typically occur in areas with thin skin, such as the webs of fingers, wrists, elbows, axillary folds, waistline, buttocks, and genitalia.
C. A bull's eye edematous area on the groin is not characteristic of scabies. Scabies lesions usually present as small, raised, grayish-white or skin-colored lines or bumps, not as bull's eye patterns.
D. Maculopapular skin burrows on the hand are a classic manifestation of scabies.
Scabies mites burrow into the skin to lay eggs, causing raised, linear, erythematous, and excoriated lesions, which may appear as small papules or vesicles with a surrounding erythematous flare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Missing front deciduous teeth are a common occurrence during childhood and are not necessarily indicative of physical abuse.
B. Weight in the 45th percentile is within the normal range for a 7-year-old and does not indicate physical abuse.
C. Bruising around the wrists can be a sign of physical abuse, especially if it appears in patterns consistent with being restrained.
D. Abrasions on the knees are common in children who are active and are not necessarily indicative of physical abuse.
Correct Answer is A
Explanation
Rationale:
A. A toddler who has a heart rate of 68/min is likely to have bradycardia, a slow heart rate that can affect oxygen delivery. Bradycardia could be caused by hypoxia, hypothermia, or cardiac problems. The nurse should report this finding to the provider immediately.
B. This temperature is within the normal range, so it does not require reporting.
C. This blood pressure is within the normal range for an adolescent, so it does not require reporting.
D. The normal respiratory rate for a 3-month-old infant is 25 to 40/min.
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