The nurse will determine more teaching is needed if a patient with discomfort from a bunion says, “I will

Correct Answer: D

Rationale: The correct answer is D because wearing only sandals and avoiding closed-toe shoes will not effectively address the discomfort from the bunion. This response indicates a lack of understanding about proper footwear choices to reduce pressure on the bunion. Other choices (A, B, C) show actions that may actually help alleviate discomfort temporarily, like giving away high-heeled shoes, using a bunion pad, or taking ibuprofen. However, these choices do not address the root cause of the issue, which is pressure and friction on the bunion. Therefore, choice D is the correct answer as it highlights the need for further education on appropriate footwear to manage bunion discomfort effectively.

Correct Answer: A

Rationale: Correct Answer: A - An antifungal like ketoconazole Rationale: Superficial dermatophytosis is a fungal infection of the skin and nails. Antifungals like ketoconazole are specifically designed to treat fungal infections, including dermatophytosis. They work by targeting and killing the fungus responsible for the infection. Therefore, prescribing an antifungal like ketoconazole would be appropriate in this case. Summary of Incorrect Choices: B: An antibiotic like tetracycline - Antibiotics are used to treat bacterial infections, not fungal infections like dermatophytosis. C: Topical corticosteroid - Corticosteroids are used to reduce inflammation and are not effective against fungal infections. D: An antihistamine like Benadryl - Antihistamines are used to treat allergic reactions and itching, not fungal infections.

Correct Answer: A

Rationale: The correct answer is A: Increased epidermal cell turnover. Psoriasis is a chronic skin disorder characterized by rapid growth and shedding of skin cells. This results from an increased rate of epidermal cell proliferation, leading to the formation of dry, itchy plaques. Choice B, IgE-mediated immune reaction, is incorrect as psoriasis is not primarily an allergic reaction. Choice C, hormonal influences on sebaceous gland activity, is incorrect as psoriasis is not related to sebaceous gland function. Choice D, human papillomaviruses (HPV), is incorrect as HPV is not associated with psoriasis.

Correct Answer: A

Rationale: The correct answer is A: Larger than other nevi. Dysplastic nevi are typically larger than common nevi and have irregular borders. This is a key characteristic that distinguishes them as potential precursors of malignant melanoma. Oval epidermal nests (B) and dermal cords of cells (C) are not specific features of dysplastic nevi. Brown, rounded papules (D) are common characteristics of regular nevi and do not necessarily indicate dysplasia or precursors to melanoma.

Correct Answer: D

Rationale: Routine skin assessment targets visible and tactile traits, excluding 'ankle-brachial index' . ABI measures vascular flow e.g., 0.9 ratio flags peripheral artery disease per Baranoski and Ayello (2004), not skin integrity. , 'color,' reveals e.g., pallor (low perfusion) or redness (inflammation) a daily check. , 'turgor,' tests elasticity e.g., tenting signals dehydration standard in nursing. , 'temperature,' flags e.g., warmth (infection) or coolness (poor flow) routine bedside. ABI, a Doppler test e.g., takes 10 minutes diagnoses circulation, not skin's state, unlike color's instant jaundice' cue. A nurse inspecting e.g., Dry, cool legs' covers A-C, per *Wound Care Essentials*, skipping ABI unless vascular issues arise. It's specialized, not routine e.g., 5% of skin checks making the correct, non-standard parameter.