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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A. Anxiety related to uncertainty of the events of the test: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
B. Deficient knowledge related to lack of information regarding the procedure: While providing information is important, the immediate emotional response (anxiety) takes priority as it can impact the patient's experience of the procedure.
C. Disturbed thought process related to confusion: While disturbed thought processes are relevant, they are not the primary concern pre-procedure.
D. Disturbed thought process related to temporary memory loss: Temporary memory loss can occur post-ECT, but addressing pre-procedure anxiety is a more immediate priority.
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