The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?

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Question 1 of 5

The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?

Correct Answer: A

Rationale: The mnemonic PQRST stands for Provocative factors (causes), Quantity, Region of the body, Severity of the symptoms, Time (length of time the disorder has been present).

Question 2 of 5

The nurse is caring for a patient diagnosed with shingles who complains of constant pain along the sciatic nerve. What intervention best helps to provide pain relief?

Correct Answer: A

Rationale: Distraction, guided imagery, and deep muscle relaxation may help reduce pain. Massage to the affected area will result in disruption in the vesicles of the disease. This disruption will delay healing and cause further discomfort. ROM and changing of positions are needed for patients with shingles in the event they are not mobile, but these actions will not reduce the discomfort.

Question 3 of 5

The nurse describes common complications that burn patients may experience. Which description best fits tissue hypoxia?

Correct Answer: B

Rationale: Tissue hypoxia results from increased blood viscosity, impairing oxygen delivery to tissues.

Question 4 of 5

A client is seen in the health care clinic and the physician suspects herpes zoster. The nurse prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain?

Correct Answer: C

Rationale: A culture swab is used to confirm herpes zoster by detecting varicella-zoster virus via PCR or viral culture.

Question 5 of 5

Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?

Correct Answer: B

Rationale: Stage II Lyme disease involves disseminated infection, often with cardiac (e.g., AV block) or neurological symptoms.

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