The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:
Lesions that run together.
Annular lesions that have grown together.
Lesions arranged in a line along a nerve route.
Lesions that are grouped or clustered together.
The Correct Answer is A
A. Confluent lesions merge into each other, forming a larger area of affected skin.
B. Annular lesions are ring-shaped, not confluent, so this option does not match the description.
C. This describes a linear arrangement, such as with shingles, not confluent lesions.
D. Grouped or clustered lesions are not confluent but are typically close together, such as in herpes simplex infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Adventitious sounds (e.g., wheezing, crackles, or stridor) are abnormal sounds that may be heard in addition to breath sounds. They do not specifically correlate with decreased breath sounds.
B. When there is obstruction in the bronchial tree (such as in conditions like asthma, chronic obstructive pulmonary disease (COPD), or a foreign body obstruction), the airflow is reduced, leading to decreased breath sounds in the affected areas.
C. Whispered pectoriloquy refers to hearing whispered sounds through the stethoscope, which would be more clearly heard with consolidation or lung tissue becoming more solid (e.g., in pneumonia), not with decreased breath sounds.
D. In consolidation (such as pneumonia), breath sounds are typically increased or bronchial, not decreased. The consolidation makes the lung tissue more solid, which can amplify breath sounds.
Correct Answer is D
Explanation
A. Cervical nodes drain the head and neck area, not typically the forearm or hand.
B. Epitrochlear nodes are found near the elbow and are responsible for draining the arm. The nurse would assess these nodes if the infection is in the arm or hand.
C. Inguinal nodes drain the lower extremities and groin area, not the upper extremities.
D. Axillary nodes drain the upper limbs, including the forearm and hand, and are likely to be swollen if there is an infection in the upper extremities.
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