You observe on a patient's lower buttocks demarcated, erythematous, exudative patches rimmed with small, red-based pustules. You hypothesize that these lesions are most likely
a. fissures caused by Crohn's disease. c. pruritus ani.
b. fistulas caused by bacterial organisms. d. exudative patches caused by Candida albicans.
D
Candida albicans occurs in sites where heat and maceration provide a fertile environment. Well-demarcated, erythematous, sometimes itchy, exudative patches of varying size and shape and rimmed with small, red-based pustules are seen with Candida albicans. Fissures associated with Crohn's disease or fistulas caused by bacterial organisms will be observed in the anal mucosa, not the buttocks. Pruritus ani are lesions with a dull, grayish-pink appearance in adults, may indicate pinworms in children, and are caused by a fungal infection.
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The nurse recognizes that the most common way for microorganisms to spread is through
1. The air. 2. Indirect contact. 3. A droplet. 4. Direct contact.