A female client went to the emergency department states that she is having burning and intense itching on the skin. A further assessment made by the nurse notes that the client is having red and white patches in the mouth. Based on this, the nurse understand that the client is most likely is suffering from?

Correct Answer: C

Rationale: The correct answer is C: Candida albicans. The symptoms described - burning and intense itching on the skin with red and white patches in the mouth - are indicative of a yeast infection caused by Candida albicans. This fungal infection commonly presents with oral thrush (white patches in the mouth) and can also cause skin irritation. Herpes simplex (A) typically presents with painful blisters, not white patches in the mouth. Psoriasis (B) is characterized by red, scaly patches on the skin, not white patches in the mouth. Eczema (D) presents with dry, itchy, inflamed skin, but does not typically involve white patches in the mouth.

Correct Answer: D

Rationale: Step 1: Lyme disease is caused by the bacterium Borrelia burgdorferi transmitted through tick bites. Step 2: The incubation period for Lyme disease is typically 3-30 days after a tick bite. Step 3: Early symptoms include fever, fatigue, headache, and a characteristic bulls-eye rash. Step 4: The bulls-eye rash (erythema migrans) is a hallmark sign of early Lyme disease. Step 5: Inability to bear weight is not typically a symptom of Lyme disease. Step 6: Therefore, the correct statement includes the manifestation of Lyme disease 3-30 days after a tick bite (Choice D). Other choices are incorrect as they do not align with typical signs and symptoms of Lyme disease.

Correct Answer: C

Rationale: The correct answer is C: 'The odor is an expected reaction to the pressure dressing.' The rationale is that in the scenario provided, the male client is being treated with an occlusive dressing for the pressure ulcer. Occlusive dressings can sometimes lead to a foul odor due to the accumulation of exudate and bacteria under the dressing, which is a normal part of the healing process. The nurse's response should reassure the wife that the odor is expected and not necessarily indicative of an infection. Option A: 'I will contact your husband's doctor when he makes rounds.' This response does not address the wife's concern about the foul odor and delays providing necessary information. Option B: 'The odor is secondary to an infection and he is taking antibiotics.' This response assumes an infection without proper assessment and may mislead the wife about the cause of the odor. Option D: 'I am sorry the odor bothers you. We will bathe your husband.' This response does not address the underlying cause

Correct Answer: C

Rationale: Correct Answer: C Rationale: The nurse should discuss rotating two or three different types of shampoos daily with the client diagnosed with seborrheic dermatitis of the scalp. This is because using different shampoos can help prevent the scalp from becoming resistant to one specific shampoo and can also help target different aspects of the condition. Using the same shampoo repeatedly may lead to decreased effectiveness over time. Additionally, rotating shampoos can help prevent the buildup of product residue on the scalp, which can exacerbate seborrheic dermatitis symptoms. This approach promotes scalp health and reduces the risk of irritation and flare-ups. Incorrect Choices: A: Using a fine-toothed comb after shampooing may exacerbate irritation and inflammation in seborrheic dermatitis. B: Applying hydrocortisone 1% twice a day may provide temporary relief but is not a long-term solution for managing seborrheic dermatitis and can have side effects with prolonged

Correct Answer: A

Rationale: The correct answer is A because actinic keratosis lesions typically present as scaly, rough patches on the skin. This is due to the abnormal thickening of the outer layer of the skin caused by sun damage. Choice B is incorrect as actinic keratosis is more common in individuals with fair skin due to their increased sensitivity to UV radiation. Choice C is incorrect as the key microscopic feature of actinic keratosis is the presence of dysplastic cells, not atypical dividing cells in the prickle cell layer. Choice D is incorrect as actinic keratosis can progress to squamous cell carcinoma, not basal cell carcinoma.