A young adult patient has come into a dermatology clinic and reports having had a single 1-in lesion that was scaly with a raised border and a pink center on the chest. Now, a little more than a week later, there are smaller matching spots of the rash on both sides of the chest. The nurse observes pink, oval-shaped spots that are 1⁄4 to 1⁄2 in across. What condition does the nurse suspect the health care provider will diagnose?

Pityriasis rosea

Herpes zoster virus

Herpes simplex type 1

Impetigo contagiosa

Answer and Explanation

The Correct Answer is A

A. Pityriasis rosea typically starts with a single, larger "herald patch" followed by a rash with smaller, oval spots. The described pattern is characteristic of this condition.
B. Herpes zoster virus or shingles, usually presents with vesicular lesions in a dermatomal distribution, rather than scattered oval spots.
C. Herpes simplex type 1 generally causes oral lesions or cold sores, not the body rash described.
D. Impetigo contagiosa is a bacterial infection that typically causes honey-colored crusted sores and is not described as having a herald patch or oval spots.

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Correct Answer is D

Explanation

A. Groin: The groin is typically affected by tinea cruris (jock itch), not tinea corporis.
B. Soles of the feet: The soles of the feet are affected by tinea pedis (athlete's foot), not tinea corporis.
C. Scalp: The scalp is affected by tinea capitis, not tinea corporis.
D. Abdomen: Tinea corporis, also known as ringworm, can affect various parts of the body, including the abdomen.

A. O Meeting patient goals B. Developing a care plan C. Implementing nurse orders D. Patient education

Correct Answer is D

Explanation

A. Meeting patient goals. While meeting patient goals is important, it is the result of care and does not directly build trust or address psychosocial needs on its own.
B. Developing a care plan. Developing a care plan is essential for organizing patient care, but it is a behind-the-scenes activity that the patient may not directly perceive as building trust or addressing psychosocial needs.
C. Implementing nurse orders. Implementing nurse orders is part of routine care delivery but does not specifically build trust or address psychosocial needs.
D. Patient education. Patient education helps build trust by empowering patients with knowledge about their condition and care plan. It encourages patients to have confidence in the care they are receiving and addresses their psychosocial needs by reducing anxiety and uncertainty.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which will the nurse examine when assessing a patient for tinea corporis?

Correct Answer is D

Explanation

What is a nursing intervention that helps to build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs?

Correct Answer is D

Explanation

The nurse is caring for a 26-year-old patient who was burned 72 hours ago. The patient has partial-thickness burns to 24% of the body surface area and begins to excrete large amounts of urine. Which action should the nurse take?

The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?

A patient is preparing to receive electroconvulsive therapy. The nurse caring for this patient identifies which patient problem as the highest priority?

When the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, the benefits of what are important to stress?

Which is the greatest concern during the emergent phase of a burn injury?

What is the most common cause of dementia?

What should the entire health team focus on during the rehabilitation phase?

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?