Diagnostic Criteria:

- Diagnosis of eczema is primarily clinical, based on the characteristic appearance and distribution of the rash.

- A detailed patient history, including a family history of atopic diseases, can support the diagnosis.

- The absence of specific laboratory or diagnostic tests for eczema makes it crucial to differentiate it from other skin conditions that may present similarly.

Nursing Test Bank

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Questions on Diagnostic Criteria:

Correct Answer is C

Explanation

White, scaly patches with well-defined borders are associated with fungal infections like tinea versicolor, not eczema.

Correct Answer is C

Explanation

Rosacea is a skin condition causing redness and visible blood vessels on the face, not related to eczema.

Correct Answer is A

Explanation

Buttocks and thighs are not commonly affected by eczema in infants.

Correct Answer is A

Explanation

Eczema is often associated with allergies, particularly allergic reactions to certain foods, environmental allergens, or irritants.

Correct Answer is B

Explanation

Eczema is not specifically associated with pregnancy.

Correct Answer is C

Explanation

White, scaly patches with well-defined borders are associated with fungal infections like tinea versicolor, not eczema.

Correct Answer is A

Explanation

Formation of papules and nodules is more characteristic of conditions like acne or granuloma annulare, not atopic dermatitis.

Correct Answer is B

Explanation

Buttocks and thighs are not as commonly affected as the elbows and knees.

Correct Answer is B

Explanation

No explanation

Correct Answer is A

Explanation

Spider-like veins on the skin are associated with spider angiomas and are not related to nummular eczema.

Correct Answer is B

Explanation

Pruritus or itching is a typical symptom of eczema and is considered a key diagnostic criterion.

Correct Answer is B

Explanation

Relief with exposure to irritants is not a diagnostic feature of eczema.

Correct Answer is A

Explanation

Skin biopsy is performed to rule out other skin conditions but is not the primary diagnostic test for eczema.

Correct Answer is C

Explanation

Seborrheic dermatitis is commonly seen on the scalp and face and presents with red, scaly patches, not coin-shaped lesions.

Correct Answer is D

Explanation

Infantile atopic dermatitis often affects areas with skin creases and flexures, such as the folds of the elbows and knees.

Correct Answer is A

Explanation

While some people with eczema may have food sensitivities, consumption of dairy products is not a common trigger for eczema exacerbation in all cases.

Correct Answer is B

Explanation

Regular use of mild soaps is beneficial for individuals with eczema to avoid skin irritation from harsh chemicals and fragrances.

Correct Answer is C

Explanation

Use of hypoallergenic fabrics is often recommended for individuals with eczema to minimize skin irritation from clothing.

Correct Answer is B

Explanation

Having a strong social support network can help individuals cope with stress, but it is not a direct cause of eczema exacerbation.

Correct Answer is D

Explanation

Processed foods with high levels of sugar, artificial additives, and preservatives can trigger inflammation and worsen eczema symptoms in some individuals.

Wearing tight-fitting clothing can irritate the skin and trap moisture, leading to increased itching and inflammation. Loose-fitting and breathable clothing is recommended.

Direct sunlight can be beneficial for some skin conditions, but excessive sun exposure can worsen eczema symptoms and increase the risk of skin damage.

Over-the-counter hydrocortisone cream may be used with caution for mild eczema, but for severe symptoms, the patient should consult their healthcare provider for appropriate prescription-strength medications.

While avoiding allergenic foods can be helpful for individuals with food allergies, it may not directly impact eczema flare-ups in all cases.

Avoiding triggers like hot showers and harsh detergents can help manage eczema flare-ups and maintain skin health.

Dairy products and eggs are common allergens, but not all individuals with eczema have sensitivities to these foods. Again, individual responses to specific foods may vary.

Applying corticosteroids to unaffected areas is unnecessary and can lead to skin thinning and other side effects.

Prolonged sun exposure can worsen eczema symptoms and is not recommended. Short periods of sun exposure with proper sunscreen protection may be beneficial for some individuals, but this should be discussed with the healthcare provider.

Handwashing is crucial for preventing the spread of infections, and using a gentle soap and moisturizing afterward can help prevent drying of the skin.More questions

Wheals are raised, red, and itchy skin lesions with irregular borders, commonly seen in hives (urticaria).

Physical activity is generally not a trigger for eczema, although sweating may exacerbate symptoms in some individuals.

Topical antihistamines are not commonly used for eczema management, and their safety during pregnancy is not well-established.

Tight-fitting clothing made of synthetic fabrics can irritate the skin and worsen eczema symptoms. Infants should be dressed in loose-fitting, breathable clothing.

X-ray is not useful for diagnosing eczema, as it primarily provides images of bones and internal structures. It is not commonly used in the evaluation of skin conditions.

Moisturizers play a crucial role in managing eczema by hydrating the skin and reducing dryness. Choosing fragrance-free moisturizers helps minimize the risk of skin irritation.

"Daily exercise routine" - Regular exercise is beneficial for overall health, and there is no direct association between exercise and eczema flare-ups.

"Scratch your itchy areas gently to avoid further irritation." - Scratching can further damage the skin barrier, increase inflammation, and lead to infections. Patients with eczema should be encouraged to avoid scratching and find alternative methods to relieve itching, such as applying

"I will try to identify and avoid foods that may trigger my eczema flare-ups." - This statement is correct. Identifying and avoiding trigger foods can be helpful for some individuals with eczema, as certain foods may exacerbate their condition.

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Diagnostic Criteria:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary characteristic of eczema? A Raised, itchy bumps on the skin. B Painful blisters and pustules. C Dry, red, and inflamed patches on the skin. D White, scaly patches with well-defined borders. Click to see answer

Correct Answer is C

Explanation

What term is often used interchangeably with eczema? A Psoriasis B Acne C Dermatitis D Rosacea Click to see answer

Correct Answer is C

Explanation

Which of the following is a common location for eczema flare-ups in infants? A Scalp B Elbows and knees C Lower back D Buttocks and thighs Click to see answer

Correct Answer is A

Explanation

Eczema is commonly associated with which of the following conditions? A Allergies B Diabetes C Hypothyroidism D Hypertension Click to see answer

Correct Answer is A

Explanation

Which of the following age groups is most commonly affected by eczema? A Elderly adults B Young children C Adolescents D Pregnant women Click to see answer

Correct Answer is B

Explanation

Which of the following is a common clinical manifestation of eczema? A Raised, itchy bumps on the skin. B Painful blisters and pustules. C Red, dry, and inflamed patches on the skin. D White, scaly patches with well-defined borders. Click to see answer

Correct Answer is C

Explanation

What is the hallmark clinical manifestation of atopic dermatitis, a common type of eczema? A Pruritus (itching) B Swelling of the face and lips C Hyperpigmentation of the affected skin D Formation of papules and nodules Click to see answer

Correct Answer is A

Explanation

Which part of the body is often affected by eczema in older children and adults? A Scalp B Elbows and knees C Lower back D Buttocks and thighs Click to see answer

Correct Answer is B

Explanation

Which type of eczema is associated with exposure to irritants in the environment? A Atopic dermatitis B Contact dermatitis C Nummular eczema D Seborrheic dermatitis Click to see answer

Correct Answer is B

Explanation

What is a characteristic clinical manifestation of nummular eczema? A Target-shaped lesions B Honey-colored crusts C Linear streaks D Spider-like veins on the skin Click to see answer

Correct Answer is A

Explanation

According to the diagnostic criteria, which of the following is a key feature of eczema? A Pustules filled with clear fluid B Lesions with well-defined borders C Skin rash confined to one body part D Absence of itching or pruritus Click to see answer

Correct Answer is B

Explanation

According to diagnostic criteria, which of the following is a common clinical feature used to differentiate eczema from other skin conditions? A Rapidly spreading erythema B Presence of target-shaped lesions C Honey-colored crusts on the skin D Relief with exposure to irritants Click to see answer

Correct Answer is B

Explanation

Which of the following diagnostic tests is commonly used to identify potential allergens in cases of suspected allergic contact dermatitis, a type of eczema? A Patch testing B PCR analysis C Complete blood count (CBC) D Skin biopsy Click to see answer

Correct Answer is A

Explanation

According to the diagnostic criteria, which type of eczema is typically associated with the presence of distinct coin-shaped lesions on the skin? A Atopic dermatitis B Contact dermatitis C Nummular eczema D Seborrheic dermatitis Click to see answer

Correct Answer is C

Explanation

Correct Answer is D

Explanation

Which of the following is a common trigger for exacerbation of eczema in individuals with atopic dermatitis? A Cold weather B Sun exposure C High humidity D Consumption of dairy products Click to see answer

Correct Answer is A

Explanation

Which of the following factors is known to aggravate eczema in individuals with sensitive skin? A Frequent moisturization B Excessive sweating C Avoiding allergenic foods D Regular use of mild soaps Click to see answer

Correct Answer is B

Explanation

Which of the following environmental factors can aggravate eczema symptoms in some individuals? A Low humidity B Exposure to pet dander C Air pollution D Use of hypoallergenic fabrics Click to see answer

Correct Answer is C

Explanation

Which of the following psychological factors can contribute to the exacerbation of eczema symptoms? A Regular exercise routine B Stress and anxiety C Adequate sleep D Social support network Click to see answer

Correct Answer is B

Explanation

Which of the following dietary factors is often associated with aggravation of eczema symptoms in certain individuals? A High intake of omega-3 fatty acids B Consuming probiotic-rich foods C Regular consumption of spicy foods D Increased consumption of processed foods Click to see answer

Correct Answer is D

Explanation

The nurse is caring for a pregnant patient with eczema. Which topical medication should the nurse recommend for the patient, considering their pregnancy status? A Tacrolimus ointment B Hydrocortisone cream C Betamethasone cream D Coal tar solution Click to see answer

The nurse is teaching a patient with eczema about the importance of avoiding allergenic foods. Which foods should the nurse advise the patient to avoid? A Fresh fruits and vegetables B Shellfish and seafood C Whole grains and nuts D Dairy products and eggs Click to see answer

The nurse is assessing a patient with eczema and notes red, inflamed, and itchy skin lesions. Which term best describes these skin lesions? A Bullae B Pustules C Papules D Wheals Click to see answer

The nurse is assessing a patient with suspected eczema. Which diagnostic test is commonly used to confirm the diagnosis and rule out other skin conditions? A Biopsy of the skin lesion B Patch testing for allergies C Complete blood count (CBC) D X-ray of the affected area Click to see answer

The nurse is teaching a patient with eczema about triggers to avoid. Which of the following should the nurse include as a common trigger for eczema flare-ups? A Dairy products B Fresh fruits and vegetables C Indoor heating D Daily exercise routine Click to see answer

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