While collecting data on a patient, the nurse observes that the patient's facial skin is reddened and is covered with greasy scales, yellowish crusts. What skin disorder does the nurse expect the patient to be treated for?
Allergic contact
Atopic dermatitis
Seborrheic dermatitis
Contact dermatitis
The Correct Answer is C
A. Allergic contact
This presents as a localized rash with itching after exposure to an allergen — not typically greasy or crusted.
B. Atopic dermatitis
Typically dry, itchy, and more common on flexor surfaces — not greasy or crusted.
C. Seborrheic dermatitis
Characterized by reddened skin with greasy scales and yellowish crusts, especially on the face, scalp, or nasolabial folds.
D. Contact dermatitis
Presents as red, itchy rash due to irritant exposure - lacks greasy scales or crusts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Intense pain:
Psoriasis can be itchy or mildly sore, but intense pain is not characteristic unless lesions are cracked/infected.
B. Lesions along the pathways of nerve endings:
Describes herpes zoster, not psoriasis.
C. Serous drainage:
Psoriatic lesions are typically dry unless secondarily infected.
D. Silvery, white scales:
Classic sign of psoriasis - raised, red patches with a silvery scale.
Correct Answer is D
Explanation
A. Firm nodule with crust:
Suggests squamous cell carcinoma, not melanoma.
B. Pearly papule with an ulcerated center:
Classic for basal cell carcinoma, not melanoma.
C. Rough, dry and scaly:
Suggestive of actinic keratosis, a precursor to squamous cell carcinoma.
D. Irregularly shaped, irregular borders, brown, tan and black coloring:
This is typical of malignant melanoma, which often appears as an asymmetrical lesion with variegated color and irregular borders.
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