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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 D

Explanation

A. Restricted movement:
May occur due to pain or immobilization but does not increase metabolic demand significantly.

B. Reduced pain medications:
May increase discomfort but does not directly increase the metabolic rate.

C. Decreased fluid resuscitation:
Leads to hypoperfusion and shock, not increased metabolism.

D. Inflammation caused by the burn:
Correct. Severe burns trigger a hypermetabolic response due to systemic inflammation, catecholamine release, and tissue repair demands.

A. To prevent infection in burn wounds B. To promote wound healing in burn patients C. To decrease the risk of hypothermia in burn patients D. To provide controlled and individualized pain relief in burn patients

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the care plan with the dietician or nutritionist for a burn client. The nurse knows which of the following factors contribute to the increased metabolic demands in burn patients?

Correct Answer is D

Explanation

The nurse is explaining to a family the benefit of a patient-controlled analgesia pump. Which of the following is an appropriate use of Dilaudid PCA for burn patients?

Correct Answer is D

Explanation

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While collecting data on a patient, the nurse observes that the patient's facial skin is reddened and is covered with greasy scales, yellowish crusts. What skin disorder does the nurse expect the patient to be treated for?

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A nurse is reinforcing teaching with a client about maintaining skin integrity to decrease the risk of infection. Which of the following instructions should the nurse include?

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