Which skin condition would be treated with laser surgery?

Correct Answer: D

Rationale: The correct answer is D because laser surgery is commonly used for fine wrinkle reduction or facial lesion removal. Laser treatments target specific skin issues like wrinkles or lesions by resurfacing the skin or removing unwanted tissue. A - Preauricular lesion: Laser surgery is not typically used to treat lesions in this area. B - Redundant soft tissue conditions: Laser surgery is not the primary treatment for this condition. C - Obesity with subcutaneous fat accumulation: Laser surgery is not used to treat obesity or fat accumulation. In summary, laser surgery is specifically effective for fine wrinkle reduction or facial lesion removal due to its precision and targeted approach.

Correct Answer: C

Rationale: Step 1: The key information here is an irritated, erythematous area on Mrs. Stevens' left hand. Step 2: The most likely cause is contact dermatitis, often triggered by changes in dish detergent. Step 3: Therefore, it is crucial to first determine if she changed her dish detergent recently. Step 4: If the detergent is the cause, changing back to the previous one can resolve the issue. Summary: - A: Food allergies usually manifest differently and are less likely to cause localized skin irritation. - B: Anaphylaxis presents with severe symptoms like difficulty breathing, not just skin irritation. - D: Strange animals are unlikely to cause localized skin irritation unless a specific allergy is known.

Correct Answer: B

Rationale: The correct answer is B: apply plastic wrap occlusive dressings. This method helps enhance the penetration of the topical steroid into the skin, increasing its effectiveness. Occlusive dressings create a barrier that traps moisture and heat, promoting better absorption. Leaving the lesion open (A) would not optimize the medication's effects. Loose gauze dressings (C) may not provide sufficient occlusion. Thoroughly washing and reapplying lotion (D) four times daily would not ensure consistent steroid application or occlusion.

Correct Answer: D

Rationale: The correct answer is D: "Would you like to have your dressing changed now or at 11:00 A.M.?" This question allows Mr. Baker to choose the timing of the dressing change, promoting his independence and control over his care. By giving him options, it respects his autonomy and preferences. Choice A is not as appropriate because it only offers one option for the timing of the dressing change, limiting Mr. Baker's control. Choice B is more focused on the method of dressing change rather than the timing, which is not directly related to promoting independence. Choice C introduces an unnecessary element of bravery and medication, which may not be relevant or respectful of Mr. Baker's autonomy in this context.