During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion.
Pustule.
Macule.
Vesicle.
Cyst.
Cyst.
The Correct Answer is C
Choice A rationale
A pustule is an elevated, round lesion filled with pus, not serum. Pustules are commonly seen in acne or infections.
Choice B rationale
A macule is a flat, discolored area of the skin that is not elevated. Macules do not contain fluid and are often seen in conditions like freckles or flat moles.
Choice C rationale
A vesicle is an elevated, round lesion filled with clear serum. Vesicles can result from conditions such as chickenpox, herpes simplex, or dermatitis.
Choice D rationale
A cyst is an elevated, round lesion filled with semi-solid material or fluid. Cysts are typically deeper in the skin compared to vesicles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Signs of medication overdose in Parkinson's disease typically include hallucinations, confusion, and dyskinesia (involuntary movements), rather than slurred speech and drooling. These symptoms are more associated with disease progression.
Choice B rationale
Increasing the medication dose might help in early or middle stages, but slurred speech and drooling indicate more advanced disease stages. Adjusting the dose might not address these specific symptoms effectively.
Choice C rationale
An exacerbation in Parkinson's disease would typically involve a worsening of existing symptoms like tremors, rigidity, and bradykinesia (slowness of movement). Slurred speech and drooling suggest a more chronic progression rather than an acute exacerbation.
Choice D rationale
In the late stages of Parkinson's disease, symptoms can include significant motor dysfunction, slurred speech, and excessive drooling due to impaired swallowing and muscle control. These are signs of advanced disease progression.
Correct Answer is D
Explanation
Choice A rationale
Stupor refers to a state of near-unconsciousness or insensibility, where the patient can be briefly aroused by vigorous or repeated stimuli.
Choice B rationale
Somnolence refers to a state of strong desire for sleep or sleeping for unusually long periods (drowsiness), but it is not as severe as stupor or coma.
Choice C rationale
Normal consciousness means the patient is awake, alert, and responsive to their environment with no neurological deficits.
Choice D rationale
A score of 6 on the Glasgow Coma Scale indicates deep coma, where the patient has minimal to no response to stimuli, indicating severe brain injury.
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