The nurse is caring for a patient with lesions on the skin. Which of the following assessment findings would cause the nurse to suspect scabies?
Reddish brown dots at the base of hairs
Large, fluid-filled blisters
Gray blue macules on the thighs and axillae
Short, wavy, brownish black lines
The Correct Answer is D
A. Reddish brown dots at the base of hairs:
Suggestive of lice/nits, not scabies.
B. Large, fluid-filled blisters:
Could indicate bullous impetigo or burns, not typical of scabies.
C. Gray blue macules on the thighs and axillae:
These may be seen in pubic lice, but not scabies.
D. Short, wavy, brownish black lines:
These are burrows made by the scabies mite, often seen in web spaces, wrists, or axillae.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Adequate Tissue Perfusion
While this important in burn management, it is not typically classified as a priority nursing diagnosis in the early stages of treatment.
B. Risk for infection
Burned skin is a lost barrier to pathogens, increasing infection risk.
C. Impaired Gas Exchange
Especially in cases of inhalation injury, airway swelling or carbon monoxide exposure can impair gas exchange.
D. Acute Pain
Burns cause significant pain that requires management for comfort and healing.
E. Fluid Volume Deficit
Burns result in fluid shifts and capillary leakage, leading to hypovolemia.
Correct Answer is D
Explanation
A. To prevent infection in burn wounds:
Analgesics like Dilaudid do not prevent infection; antibiotics and wound care do.
B. To promote wound healing in burn patients:
Pain control may aid indirectly, but opioids do not promote wound healing directly.
C. To decrease the risk of hypothermia in burn patients:
Hypothermia prevention involves warm blankets, warming devices, and fluid management-not PCA.
D. To provide controlled and individualized pain relief in burn patients:
PCA pumps allow patients to self-administer opioid analgesia, offering consistent, effective pain control with less risk of overdose when properly programmed.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.