NCLEX-PN
Nclex Questions Management of Care Questions
Extract:
Question 1 of 5
A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child's scratching. Which of the following advisory comments should be given?
Correct Answer: C
Rationale: The scenario describes classic impetigo, characterized by maculopapular lesions with honey-colored drainage, typically caused by Staphylococcus aureus or Streptococcus pyogenes. Antibiotic therapy is usually indicated for impetigo. Chickenpox, a highly contagious disease, presents with a history of high fever followed by a vesicular rash, different from the described maculopapular lesions with honey-colored drainage.
Choice A is incorrect as the presentation is not consistent with chickenpox.
Choice B is incorrect because impetigo is contagious, especially through direct contact.
Choice D is also incorrect as impetigo is a contagious skin infection regardless of others having open wounds or lesions.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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