When assessing a client's skin, the nurse finds acne. How would the nurse document the lesions?
Scale
Pustule
Macule
Papule
The Correct Answer is B
A. Scale refers to flakes of dead skin cells and is not typically used to describe acne lesions.
B. Pustules are small, inflamed, pus-filled lesions, which are characteristic of acne.
C. A macule is a flat, discolored spot on the skin and does not apply to the raised, pus-filled lesions seen in acne.
D. A papule is a small, solid, raised lesion, but it is not filled with pus like a pustule. Acne lesions are often described as pustules when they contain pus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Exposed bone refers to a stage 4 pressure ulcer, which involves full-thickness tissue loss with bone, muscle, or tendon exposure.
B. Blood-filled blisters are more indicative of a stage 2 ulcer, which involves partial-thickness skin loss with blister formation.
C. A stage 3 ulcer is characterized by full-thickness skin loss, with damage extending into subcutaneous tissue, where necrosis may occur.
D. Partial-thickness skin loss is a characteristic of a stage 2 pressure ulcer, not stage 3.
Correct Answer is A
Explanation
A. UV rays from the sun can cause skin damage and contribute to skin cancer, even in the winter months when the sun may seem less intense. Sunscreen is necessary year-round, as UV radiation can still reach the skin through clouds and reflections from surfaces like snow or water.
B. Tanning beds are a significant risk factor for skin cancer, as they emit UVA and UVB radiation, both of which can damage the skin and increase the risk of melanoma and other types of skin cancer. The nurse should educate the client that tanning beds should be avoided.
C. While individuals with darker skin have a lower risk of developing skin cancer compared to those with lighter skin, they are still at risk for certain types of skin cancer, particularly melanoma. It's important for people of all skin tones to practice sun safety and undergo regular skin checks.
D. Skin cancer, particularly melanoma, has a genetic component, meaning those with a family history of melanoma are at a higher risk. A family history of skin cancer increases the risk, and the client should be encouraged to have regular skin exams and protect their skin from the sun.
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