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 B
Explanation
Rationale:
A. This response is beyond the child’s understanding.
B. Curiosity about what happened to the sibling's body is a common reaction in preschool-age children and can be considered age-appropriate.
C. Preschool-age children may struggle to give a logical explanation for death due to their limited cognitive development and understanding of abstract concepts.
D. Feeling responsible for the sibling's death is not an age-appropriate response for a preschool-age child. Young children may experience guilt but usually do not attribute death to their actions or feelings of responsibility.
Correct Answer is C
Explanation
Rationale:
A. Odorless urine may be an indicator of improved hydration status but does not directly reflect the effectiveness of treatment for nephrotic syndrome.
B. Absence of pain with voiding may indicate resolution of urinary tract symptoms but is not a specific indicator of treatment effectiveness for nephrotic syndrome.
C. Increased urine output indicates improved renal function, which is a primary goal of treatment for nephrotic syndrome, making this the most appropriate indicator of treatment effectiveness.
D. Temperature within normal range is not a direct indicator of treatment effectiveness for nephrotic syndrome.
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