The adult client is visiting the outpatient clinic. The client states, "I have sores in my mouth and on my lips.". The nurse notes the presence of crusted lesions on the lips and inside the client's mouth along the cheek
The client states that the lesions do not itch. These findings are most consistent with the development of which of the following conditions? 1. Chickenpox
2. Contact dermatitis
3. Herpes simplex
4. Psoriasis
3
Rationale 1: Chickenpox is a mild infectious disease caused by the herpes zoster virus. It begins as groups of small, red, fluid-filled vesicles usually on the trunk, and progresses to the face, arms, and legs. Vesicles erupt over several days, forming pustules, then crusts. The condition may cause intense itching. It occurs mostly in children.
Rationale 2: Contact dermatitis is inflammation of the skin due to an allergy to a substance that comes into contact with the skin, such as clothing, jewelry, plants, chemicals, or cosmetics. The location of the lesions may help identify the allergen. It may progress from redness to hives, vesicles, or scales, and is usually accompanied by intense itching.
Rationale 3: The lesions described are typical for herpes simplex, which is a viral infection that produces such lesions.
Rationale 4: Psoriasis is thickening of the skin in dry, silvery, scaly patches. It occurs with overproduction of skin cells resulting in buildup of cells faster than they can be shed. It may be triggered by emotional stress or generally poor health. It may be located on scalp, elbows and knees, lower back, and perianal area.
You might also like to view...
A patient with a massive upper gastrointestinal hemorrhage is exhibiting signs and symptoms of hypovolemic shock. What most specific treatment does the nurse anticipate?
A) Admission to a general care nursing unit for monitoring B) Initial fluid resuscitation with intravenous crystalloids C) Diet of clear liquids, advanced as tolerated D) Bed rest in semi-Fowler's position
A young adult is bragging to a nurse that she never gets sick and has not needed to see a doctor for years. The nurse explains to the patient that even when she feels healthy, she should have physical examinations and screenings
1. Every 6 months. 2. Once a year. 3. Every other year. 4. Every 5 years.
Depending on the patient's risk for the recurrence of PE, a patient may be placed on warfarin for
a. 1 to 3 months. b. 3 to 6 months. c. 3 to 12 months. d. 12 to 36 months.
The nurse is performing a focused interview on breast health and is preparing to ask a client a question about internal environment. Which question should the nurse ask?
A. "Have you ever had a mammogram?" B. "Have you experienced any trauma to your breasts?" C. "Have you been exposed to any environmental toxins?" D. "Do you have breast implants?"