When assessing a client's skin, the nurse finds clusters of lesions. How would the nurse document the lesions?
Confluent
Discrete
Grouped
Annular
The Correct Answer is C
A. Confluent lesions merge together, forming a larger area of affected skin, which is not the case here.
B. Discrete lesions are separate and distinct from each other, which doesn't match the description of clusters.
C. Grouped lesions are those that appear in clusters, which fits the assessment finding.
D. Annular lesions have a ring-like appearance, typically seen in conditions like ringworm, and do not fit the description of clustered lesions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tilting the head forward is not necessary for the otoscope exam.
B. Pulling the pinna up and back is used for older children and adults.
C. Releasing the pinna after inserting the speculum is unnecessary.
D. For young children under 3 years, the pinna should be pulled down and back to straighten the ear canal.
Correct Answer is A
Explanation
The Glasgow Coma Scale (GCS) measures three aspects: Eye response, verbal response, and motor response.
Eye response: Opens eyes to pain (score 2).
Verbal response: Uses inappropriate words (score 3). Motor response: Flexion withdrawal from pain (score 4). Total GCS = 2 (eyes) + 3 (verbal) + 4 (motor) = 9.
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