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 A
Explanation
Rationale:
A. Mood swings are a common side effect of prednisone and indicate an understanding of the potential adverse effects.
B. Routine blood tests are not typically required for children on maintenance prednisone therapy for asthma.
C. Prednisone should not be withheld before physical activity, as it is a maintenance medication for asthma.
D. Decreased appetite is a common side effect of prednisone but is not the best indicator of understanding the teaching.
Correct Answer is B
Explanation
Rationale:
A. Rolling over from back to abdomen typically occurs around 4 to 6 months of age.
While it may be slightly delayed, it is not usually concerning at 5 months.
B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider.
C. Not all infants are able to hold a bottle at 5 months, and this finding alone may not be concerning.
D. The grasp reflex typically diminishes by 3 to 4 months of age, so it may not be present at 5 months. While it's a developmental milestone, its absence alone may not warrant immediate concern at this age.
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