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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. "I used to lie in the sun all the time, but now I just go to the tanning bed.":
Tanning beds also emit harmful UV radiation and increase the risk of skin cancer.

B. "I need to use sunscreen even in winter.":
UV rays are present year-round, even in cloudy or cold weather, and sunscreen is still needed.

C. "Because I have a light complexion, I have a decreased risk for skin cancer.":
Fair-skinned individuals have a higher risk due to less melanin protection.

D. "My father was treated for melanoma, but skin cancer isn't related to genetics.":
Family history of skin cancer, especially melanoma, increases risk.

A. Percent of body surface burned B. Respiratory status C. Review of chronic illnesses D. Burn depth

Correct Answer is B

Explanation

A. Percent of body surface burned:
Important for guiding fluid resuscitation, but airway and breathing always take priority in the ABCs.

B. Respiratory status:
Inhalation injury is a life-threatening complication in fire-related burns. Assess for stridor, soot in nares/mouth, and signs of respiratory distress first.

C. Review of chronic illnesses:
Relevant for overall care planning, but not an initial priority in the emergency phase.

D. Burn depth:
Guides long-term care but is secondary to airway and breathing in the acute setting.

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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

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