The nurse is assessing a lesion on a patient and observes a focal loss of epidermis and dermis, a depression extending into the dermis, irregularly shaped, and bleeding. This type of wound is known as a/an
Ulcer
Erosion
Nodule
Cyst
The Correct Answer is A
A. Ulcer refers to a wound with a loss of epidermis and dermis, often irregular and deeper, potentially bleeding.
B. Erosion involves a shallow loss of the epidermis only, not extending into the dermis.
C. Nodule is a solid, raised lesion that is typically firm and not ulcerated.
D. Cyst is a sac-like structure containing fluid or semi-solid material, not a wound with loss of tissue.
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Related Questions
Correct Answer is B
Explanation
A. Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B. Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C. Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D. Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.
Correct Answer is C
Explanation
A. Adrenal: The adrenal glands produce hormones like cortisol and adrenaline, but not thyroxine.
B. Parotid: The parotid glands are salivary glands and are unrelated to thyroxine production.
C. Thyroid: The thyroid gland produces thyroxine (T4), and elevated levels of this hormone indicate that the thyroid gland should be assessed for potential hyperthyroidism.
D. Parathyroid: The parathyroid glands regulate calcium levels but do not produce thyroxine.
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