An adolescent says her feet itch, sweat a lot, and have a foul odor. What condition does the nurse suspect?
candidiasis
tinea corporis
tinea pedis
molluscum contagiosum
The Correct Answer is C
Rationale:
A. Candidiasis is a fungal infection typically found in warm, moist areas such as the mouth (thrush) or diaper area, not commonly the feet.
B. Tinea corporis, or ringworm of the body, presents as circular lesions with clear centers and raised borders, typically on the trunk or limbs—not the feet.
C. Tinea pedis (athlete’s foot) is a common fungal infection of the feet, especially in adolescents. Itching, sweating, and foul odor are hallmark signs due to fungal overgrowth in moist areas.
D. Molluscum contagiosum is a viral skin infection that causes small, flesh-colored bumps with central umbilication, but it is not associated with itching, sweating, or odor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Infants with myelomeningocele are at risk for hydrocephalus, so daily head circumference is essential to monitor for increased intracranial pressure. Monitoring intake and output is important due to the risk of neurogenic bladder, and assessing parent-infant bonding supports emotional development and attachment.
B. Saline gavage and chest physiotherapy are not typical interventions unless respiratory issues are present.
C. While urinary catheterization might be needed, the Glasgow Coma Scale is not routinely used for infants unless there's a neurologic crisis.
D. Contact isolation is not standard unless there’s an infection. Renal checks are important but not complete enough without other key care plan components.
Correct Answer is B
Explanation
Rationale:
A. Koplik sign refers to small white spots on the buccal mucosa, indicative of measles—not muscular dystrophy.
B. Gowers' sign is a classic indicator of muscular dystrophy, especially Duchenne muscular dystrophy. It describes the maneuver where a child uses their hands and arms to "walk" up their thighs to stand up due to proximal muscle weakness.
C. Kernig's sign is used to detect meningeal irritation in meningitis, not related to muscle weakness.
D. McBurney's sign refers to point tenderness in appendicitis, unrelated to muscular dystrophy.
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