Which secondary skin lesions are associated with eczema?

Scales.

Erosion.

Crusts.

Ulcers.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Scales represent the accumulation of dead skin cells that flake off, a common secondary lesion in eczema resulting from the chronic inflammation and rapid skin cell turnover.

Choice B rationale

Erosion occurs when the superficial layer of skin is lost, typically due to scratching or friction in eczema, exposing the underlying epidermis and sometimes leading to infection.

Choice C rationale

Crusts form when serum, blood, or purulent exudate dries on the skin surface, often seen in eczema as a result of weeping lesions and subsequent drying.

Choice D rationale

Ulcers are deeper lesions extending into the dermis or subcutaneous tissue and are not typically associated with eczema. Eczema usually affects the epidermis, causing secondary lesions like scales, erosion, and crusts rather than deep tissue ulcers.

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Correct Answer is C

Explanation

Choice A rationale

Swallowing involves the glossopharyngeal and vagus nerves, not the trigeminal nerve. Thus, trigeminal neuralgia does not typically affect swallowing.

Choice B rationale

Smelling involves the olfactory nerve (cranial nerve I), not the trigeminal nerve (cranial nerve V). Therefore, trigeminal neuralgia does not affect the sense of smell.

Choice C rationale

Trigeminal neuralgia involves the trigeminal nerve, which is responsible for sensation in the face and motor functions such as biting and chewing. Therefore, chewing can be significantly affected.

Choice D rationale

Tasting involves the facial nerve (cranial nerve VII) and glossopharyngeal nerve (cranial nerve IX), not the trigeminal nerve. Thus, trigeminal neuralgia does not typically affect taste.

A. Gently pressing the bones on the neck. B. Moving the head toward both sides. C. Lightly tapping the lower portion of the neck to detect sensation. D. Moving the head and chin toward the chest.

Correct Answer is D

Explanation

Choice A rationale

Gently pressing the bones on the neck does not effectively test for neck rigidity, which is a common indicator of meningeal irritation or inflammation. This method may detect tenderness or bony abnormalities but not rigidity.

Choice B rationale

Moving the head toward both sides primarily assesses range of motion and flexibility. While reduced range of motion can be noted, this method doesn't specifically test for the resistance characteristic of neck rigidity.

Choice C rationale

Lightly tapping the lower portion of the neck to detect sensation tests for sensory nerve function but is not relevant to assessing muscle tone or rigidity, which is related to motor nerve and muscular response.

Choice D rationale

Moving the head and chin toward the chest is a proper technique to test for neck rigidity. This maneuver can elicit pain or resistance in cases of meningeal irritation, providing a reliable assessment for rigidity.

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Which secondary skin lesions are associated with eczema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a diagnosis of trigeminal neuralgia. Which activity is altered as a result of this diagnosis?

Correct Answer is C

Explanation

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

Correct Answer is D

Explanation

A client's orders include a wound dressing using an autolytic debriding agent. The nurse providing discharge instructions to the client should include which statement?

Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?

The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

A nurse is planning discharge education for a client who underwent a cervical discectomy. What strategies would the nurse assess that would aid in planning discharge teaching?

A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm Hg. This CPP reading is considered:

Which cranial nerve is responsible for muscles that move the eye and lids?

When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

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