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. Dermis. The dermis contains connective tissue, blood vessels, and other structures but not melanocytes.
B. Superficial fascia. The superficial fascia, or hypodermis, is primarily composed of fat and connective tissue and does not contain melanocytes.
C. Epidermis. Melanocytes are located in the basal layer of the epidermis, where they produce melanin.
D. Loose connective tissue. Loose connective tissue is found in various parts of the body but does not contain melanocytes responsible for skin pigmentation.
Correct Answer is B
Explanation
A. Schizophrenia is a chronic mental health disorder not characterized by time-specific delirium.
B. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, often seen in patients with delirium or dementia.
C. Disordered thinking can be a symptom of many conditions but does not specifically describe time-related delirium.
D. Dementia is a chronic condition that can include sundowning but does not specifically describe this time-related agitation and confusion.
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