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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: A nasogastric tube may be necessary for some patients with dysphagia, which is difficulty swallowing, but not for dysarthria, which is difficulty speaking.

Choice B reason: Stems from severe rheumatoid arthritis is false because dysarthria is caused by damage to the nerves or muscles that control speech, not by inflammation of the joints.

Choice C reason: Physical therapy can be beneficial is true because dysarthria can be improved by exercises that strengthen the speech muscles and improve coordination.

Choice D reason: Can affect the balance is false because dysarthria does not affect the vestibular system, which is responsible for balance and spatial orientation.

A. “Client slept throughout the night.” B. “Client cooperative during AM care.” C. “Client ate 80% of breakfast, 70% of lunch and 100% of dinner.” D. “Client winces only when turned and repositioned.” E. “Client slept during dressing change.”

Correct Answer is ["A","B","C","D"]

Explanation

Choice A: "Client slept throughout the night" - Good sleep can be an indicator of effective pain management. Pain can disrupt sleep, so if the client is sleeping well, it may suggest that their pain is being effectively managed¹.

Choice B: "Client cooperative during AM care" - If the client is cooperative during care, it may suggest that they are not in significant pain. Uncontrolled pain can make people irritable and uncooperative¹.

Choice C: "Client ate 80% of breakfast, 70% of lunch and 100% of dinner" - Pain can affect appetite. If the client is eating well, it may suggest that their pain is under control¹.

Choice D: "Client winces only when turned and repositioned" - If the client only shows signs of discomfort during movement, it may suggest that their pain is generally well-controlled¹.

Choice E: "Client slept during dressing change" - This is not necessarily an indicator of effective pain management. The client could be sleeping due to fatigue, medication effects, or other reasons unrelated to their pain level¹.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements is true about dysarthria?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","D"]

Explanation

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