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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Subcutaneous
Poor tissue perfusion in burn clients makes subcutaneous administration ineffective.

B. Intravenous
In the acute phase of major burns, the IV route is preferred for analgesia because of unreliable absorption from other routes due to poor tissue perfusion.

C. Transdermal
Damaged or burned skin will not absorb medications effectively.

D. Oral
Oral absorption may be delayed or unpredictable due to stress responses, NPO status, or ileus in critically ill burn clients.

A. A weeping vesicle B. A red, edematous macule C. A rough, scaly tumor D. A pearly, shiny nodule with defined borders.

Correct Answer is D

Explanation

A. A weeping vesicle:
More typical of eczema or contact dermatitis, not basal cell carcinoma.

B. A red, edematous macule:
Suggests inflammation or allergic reaction, not a basal cell lesion.

C. A rough, scaly tumor:
Describes squamous cell carcinoma or actinic keratosis.

D. A pearly, shiny nodule with defined borders:
Classic presentation of basal cell carcinoma, especially on sun-exposed areas.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is inspecting a lesion on a client who has basal cell carcinoma. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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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?

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