A nurse performs a skin assessment on an assigned client and notes the presence of lesions that are red-tan scaly plaques. The nurse documents this findings as:

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Pediatric Integumentary System Questions

Question 1 of 5

A nurse performs a skin assessment on an assigned client and notes the presence of lesions that are red-tan scaly plaques. The nurse documents this findings as:

Correct Answer: D

Rationale: Red-tan scaly plaques are characteristic of actinic keratoses, precancerous lesions from sun exposure. Seborrhea is oily, xerosis is dry skin, and pruritus is itching.

Question 2 of 5

The nurse provides discharge instructions to a client following patch testing. Which instruction would the nurse provide to the client?

Correct Answer: D

Rationale: Patch test sites must remain dry to ensure accurate allergen response readings, typically at 48 hours and later. Reapplying patches or waiting 2 weeks is incorrect.

Question 3 of 5

A female client arrives at the health care clinic and tells the nurse that she was bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which nursing action is appropriate?

Correct Answer: C

Rationale: Lyme disease serology is unreliable early post-bite; antibodies develop after 4-6 weeks, making this the appropriate time for accurate testing without the tick.

Question 4 of 5

A nurse is preparing a plan of care for a client with a diagnosis of acute cellulitis of the lower leg. The nurse anticipates which measure will be prescribed to treat this condition?

Correct Answer: A

Rationale: Warm moist compresses promote vasodilation and antibiotic delivery to the cellulitis site, aiding resolution. Cold compresses or heat lamps are less effective.

Question 5 of 5

A client with a major burn is admitted to the emergency department. The nurse anticipates that which of the following routes will be ordered for analgesics for this client?

Correct Answer: B

Rationale: IV analgesics (e.g., morphine) are preferred for major burns due to rapid onset and reliability in shock states, unlike slower or less effective routes.

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