A nurse is assessing a client with impetigo. The nurse would most likely observe which of the following?
Papule.
Vesicle.
Wheal.
Pustule.
The Correct Answer is D
Choice A rationale
A papule is a small, raised, solid pimple or swelling on the skin, often forming part of a rash. It does not typically contain pus and is not associated with impetigo, which is characterized by pustules.
Choice B rationale
A vesicle is a small fluid-filled blister on the skin, usually containing clear fluid. Impetigo typically presents with pustules rather than vesicles.
Choice C rationale
A wheal is a raised, itchy area of skin that is often a sign of an allergic reaction. It is not characteristic of impetigo, which involves pustules.
Choice D rationale
Impetigo is a highly contagious bacterial skin infection that usually presents with pustules, which are raised lesions containing pus. These pustules can rupture and form a yellowish crust, which is a hallmark of impetigo.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The oculomotor nerve (cranial nerve III) is responsible for innervating the muscles that move the eye and lift the eyelid, as well as controlling pupil constriction and lens shape for focusing.
Choice B rationale
The vestibulocochlear nerve (cranial nerve VIII) is involved in hearing and balance, not in the movement of eye muscles or eyelids.
Choice C rationale
The facial nerve (cranial nerve VII) controls muscles of facial expression, taste sensations from the anterior two-thirds of the tongue, and functions in tear and saliva production.
Choice D rationale
The trigeminal nerve (cranial nerve V) is responsible for sensation in the face and motor functions such as biting and chewing, not for eye movements.
Correct Answer is B
Explanation
Choice A rationale
Temporal lobe damage affects auditory processing and memory rather than visual stimuli interpretation, impacting functions like language comprehension and memory formation.
Choice B rationale
Occipital lobe is the primary visual processing center of the brain, responsible for interpreting visual stimuli. Damage to this lobe impairs visual perception and recognition, aligning with the symptoms described.
Choice C rationale
Frontal lobe injury affects executive functions, behavior, and motor skills, not visual stimuli interpretation. Symptoms include problems with planning, movement, and personality changes rather than visual processing issues.
Choice D rationale
Parietal lobe processes sensory information such as touch, temperature, and pain, and helps in spatial orientation. It does not primarily interpret visual stimuli, making it less relevant to the described visual interpretation difficulty.
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