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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Asthma exacerbation typically causes wheezing or bronchospasm and would not usually cause decreased breath sounds in one lung.
B. Pulmonary embolism may cause breathlessness or decreased oxygen levels, but it wouldn't typically cause unilateral decreased breath sounds.
C. Pneumothorax is the most likely cause, as air in the pleural space can collapse the lung, leading to decreased or absent breath sounds on the affected side.
D. Pulmonary edema typically causes bilateral crackles and would not cause unilateral decreased breath sounds.
Correct Answer is B
Explanation
A. Trapezius: The trapezius is a muscle of the upper back and neck and does not play a primary role in normal respiration.
B. Diaphragm: The diaphragm is the most important muscle for respiration. It contracts and moves downward during inhalation, increasing the thoracic cavity's volume and drawing air into the lungs.
C. Rectus abdominus: The rectus abdominus is a core muscle that helps in forced expiration but is not essential in normal breathing.
D. Sternocleidomastoid: This muscle assists with forced inspiration, but it is not the primary muscle for regular breathing.
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