An adolescent is in the clinic with a few skin lesions on his thighs. The lesions have an open center with a thin crust. Which question by the nurse will aid the diagnosis of this patient's skin problem?
A.
"Are you active in any athletics or sports?"
B.
"Do you have siblings with respiratory infections?"
C.
"Do you seem to scratch a lot at night?"
D.
"Have you been in any wooded areas lately?"
ANS: A
This lesion sounds like MRSA (methicillin-resistant Staphylococcus aureus). MRSA is common in athletes. This question would elicit the most useful information. Respiratory infection is not related. Scratching, especially at night, is characteristic of scabies. Wooded areas have ticks, which can spread Lyme disease.
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