When an older female adult client complains of itching and pain and several days later shows you a rash, what do you realize she has?
Scabies
Herpes zoster
Skin cancer
Actinic keratosis
The Correct Answer is B
Choice A reason: Scabies is a skin infestation caused by tiny mites that burrow into the skin and lay eggs. It causes intense itching and a pimple-like rash, usually in the folds of the skin, such as the armpits, groin, or between the fingers. Scabies is highly contagious and can spread through direct skin contact or shared clothing or bedding.
Choice B reason: Herpes zoster, also known as shingles, is a viral infection that affects the nerves and the skin. It causes a painful, blistering rash that usually appears on one side of the body or face. Herpes zoster is caused by the same virus that causes chickenpox, which can reactivate later in life, especially in older adults or people with weakened immune systems.
Choice C reason: Skin cancer is an abnormal growth of skin cells that can be caused by exposure to ultraviolet (UV) radiation from the sun or tanning beds. It can appear as a new or changing mole, a sore that does not heal, or a scaly or crusty patch of skin. Skin cancer can vary in appearance, size, shape, and color, depending on the type and stage of the cancer.
Choice D reason: Actinic keratosis is a precancerous skin condition that is caused by chronic sun damage. It appears as rough, scaly, or crusty spots on the skin, usually on the face, ears, scalp, or hands. Actinic keratosis can sometimes develop into squamous cell carcinoma, a type of skin cancer, if left untreated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Regular exercise should exceed 30 minutes three times a week, not not exceed. Exercise helps lower blood glucose levels and improve insulin sensitivity.
Choice B reason: A walking program is recommended for an older adult with diabetes, not not recommended. Walking is a low-impact, moderate-intensity exercise that can benefit people with diabetes.
Choice C reason: Insulin can not be discontinued if the individual adheres to the walking program, not most probably. Insulin is a vital hormone that regulates blood glucose levels and prevents complications from diabetes. Exercise alone is not enough to replace insulin therapy.
Choice D reason: The walking regimen needs to be done on a regularly scheduled basis. This is the correct answer because it helps the individual maintain a consistent blood glucose level and avoid hypoglycemia or hyperglycemia. It also helps the individual plan their insulin doses and meals accordingly.
Correct Answer is A
Explanation
Choice A reason: Crushing chest pain is the classic sign of an AMI, but it can be absent in some older men with an AMI. This is because older men may have a reduced pain perception due to aging, diabetes, or other conditions that affect the nerve endings. Older men may also have atypical or silent AMIs, which do not cause chest pain or other obvious symptoms.
Choice B reason: Epigastric burning is not a classic sign of an AMI, but it can be a symptom of an AMI in some older men. Epigastric burning may be mistaken for indigestion, heartburn, or gastritis, but it can also indicate ischemia or injury to the lower part of the heart.
Choice C reason: Dyspnea and fatigue are not classic signs of an AMI, but they can be symptoms of an AMI in some older men. Dyspnea and fatigue may be attributed to aging, deconditioning, or other chronic diseases, but they can also indicate reduced oxygen supply to the heart and the body.
Choice D reason: Vague complaints are not classic signs of an AMI, but they can be symptoms of an AMI in some older men. Vague complaints may include anxiety, restlessness, nausea, dizziness, or weakness, which may be overlooked or dismissed as minor ailments, but they can also indicate a serious cardiac event.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the classic sign of an AMI that can be absent in an older man with an AMI.
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