The nurse is assessing a child with suspected scabies. Which skin finding is commonly observed in pediatric scabies?
Petechiae and purpura
Sandpaper-like rash with "strawberry tongue"
Vesicular lesions in "dewdrop on a rose petal" pattern
Excoriated papules and nodules with honey-colored crusts
The Correct Answer is D
Explanation: Pediatric scabies presents as excoriated papules and nodules with honey-colored crusts, resulting from intense itching and scratching.
Incorrect choices: a. Petechiae and purpura are indicative of a bleeding disorder or other vascular issues, not scabies.
b. A sandpaper-like rash with "strawberry tongue" is a characteristic finding of scarlet fever, not scabies.
c. Vesicular lesions in a "dewdrop on a rose petal" pattern are typical of chickenpox (varicella), not scabies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Explanation: Scabies burrows are commonly found in interdigital spaces (between the fingers and toes) and on the wrists, as these areas offer warm and protected environments for the mites to burrow.
Incorrect choices: a. The face and neck are not typical locations for scabies burrows.
b. Extensor surfaces of the arms and legs are less commonly affected by scabies.
c. While scabies burrows can occur on the chest and back, they are more frequently found in the areas mentioned in the correct choice
Correct Answer is B
Explanation
Explanation: The definitive method for confirming scabies infestation is the microscopic examination of skin scrapings, which can reveal the presence of Sarcoptes scabiei mites, eggs, or fecal pellets.
Incorrect choices: a. Skin biopsy may show hyperkeratosis and parakeratosis, but it is not the definitive method for diagnosing scabies. It can help rule out other skin conditions with similar manifestations.
c. The Mantoux test is used for detecting exposure to tuberculosis, not scabies.
d. Serological testing for antibodies against scabies mites is not typically used for diagnosing scabies and may not provide accurate results.
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