A student at an elementary school health fair reports having itchy circles on the lower legs. Which skin assessment finding should the nurse prioritize for immediate intervention?
Patches of round lesions on both lower legs.
Red ring-shaped lesions with normal skin in the center.
Itchy, red, scaly patches with blisters that are draining.
Several irritated circular bald, flaky scalp patches.
The Correct Answer is C
Answer and explanation
The correct answer is C.
Choice A rationale
Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.
Choice B rationale
Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.
Choice C rationale
Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.
Choice D rationale
Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While reminding drivers to wear seatbelts is important for overall road safety, it does not directly enhance the safety of children walking to and from school.
Choice B rationale
Advising residents to keep their porch lights on can improve visibility during hours of low light. However, this measure may not significantly enhance the safety of children walking to and from school during daylight hours.
Choice C rationale
Encouraging residents to have their homes inspected for high lead levels is important for overall community health, but it does not directly impact the safety of children walking to and from school.
Choice D rationale
Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.
Choice B rationale
While it’s important to identify personal contacts in the case of some infectious diseases, anthrax is not spread from person to person. Therefore, identifying personal contacts over the past week would not necessarily help to rule out exposure to anthrax spores.
Choice C rationale
A twenty-four-hour diet history would not typically be useful in ruling out exposure to anthrax spores. Anthrax is not usually spread through food or water.
Choice D rationale
Inquiring about previous vaccination for smallpox would not help to rule out exposure to anthrax spores. Smallpox and anthrax are caused by different organisms, and the smallpox vaccine does not provide protection against anthrax.
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