Nokea
A patient presents with multiple, dome-shaped, translucent papules with central umbilication on the face and trunk. The lesions are asymptomatic and have been gradually increasing in number. Which of the following conditions is most likely responsible for this presentation?
- A. Basal cell carcinoma
- B. Molluscum contagiosum
- C. Sebaceous hyperplasia
- D. Keratoacanthoma
Correct Answer: B
Rationale: Molluscum contagiosum is a viral skin infection caused by the poxvirus. It typically presents as multiple dome-shaped, translucent papules with central umbilication on the face and trunk. The lesions are usually asymptomatic but can be itchy. Molluscum contagiosum is a common infection in children but can also occur in adults, especially those who are immunocompromised. The lesions can gradually increase in number over time. Basal cell carcinoma, sebaceous hyperplasia, and keratoacanthoma do not typically present with the characteristic features of molluscum contagiosum.
You may also like to solve these questions
While preparing the operating room (OR) for a surgical procedure, the nurse notices that the surgical instrument tray is incomplete. What should the nurse do?
- A. Proceed with the procedure using the available instruments
- B. Document the missing instruments in the surgical count log
- C. Inform the sterile processing department and request additional instruments
- D. Borrow the missing instruments from another OR Professionalism and Fundamentals of Nursing
Correct Answer: C
Rationale: It is crucial to have a complete set of surgical instruments for any surgical procedure to ensure patient safety and the success of the surgery. If the nurse notices that the surgical instrument tray is incomplete, the best course of action is to inform the sterile processing department immediately. By doing so, the missing instruments can be promptly provided, ensuring that the surgical team has all the necessary tools for the procedure. Proceeding with the procedure using incomplete instruments can compromise patient safety and the quality of care provided. Documenting the missing instruments in the surgical count log is important for record-keeping purposes but should not delay the immediate action of requesting additional instruments. Borrowing instruments from another OR is not recommended as it can create confusion, potential cross-contamination, and disrupt the workflow of another surgical team.
A postpartum client who delivered vaginally expresses concern about feeling "heavy" in the perineal area. What education should the nurse provide to address this sensation?
- A. Encourage the client to perform Kegel exercises regularly.
- B. Recommend the use of perineal pads for additional support.
- C. Educate the client about the process of uterine involution.
- D. Suggest the use of a perineal support garment.
Correct Answer: A
Rationale: The sensation of feeling "heavy" in the perineal area postpartum is a common concern due to the stretching and potential trauma to the perineal muscles during childbirth. Kegel exercises are specifically designed to strengthen the pelvic floor muscles, which can help alleviate this sensation of heaviness. By encouraging the client to perform Kegel exercises regularly, the nurse is promoting the restoration and strengthening of the perineal muscles, ultimately helping the client feel more comfortable and supported in that area. This education empowers the client to take an active role in their own recovery and promotes optimal healing postpartum.
Which of the following structures is responsible for storing and concentrating bile produced by the liver until it is needed for digestion?
- A. Liver
- B. Gallbladder
- C. Pancreas
- D. Spleen
Correct Answer: B
Rationale: The gallbladder is the structure responsible for storing and concentrating bile produced by the liver until it is needed for digestion. Bile is a digestive fluid that helps in the breakdown of fats during the digestive process. When food containing fats enters the small intestine, the gallbladder contracts and releases bile into the small intestine to aid in the digestion and absorption of fats. The gallbladder acts as a reservoir for bile, storing it until it is needed for digestion.
Which of the following is the most common risk factor for the development of ovarian cancer?
- A. Nulliparity
- B. Early menarche
- C. Late menopause
- D. Family history of breast cancer
Correct Answer: A
Rationale: Nulliparity, which refers to never having given birth to a child, is the most common risk factor for the development of ovarian cancer. Women who have never been pregnant have a higher risk of developing ovarian cancer compared to those who have had children. This association is believed to be related to the uninterrupted ovulation cycles that nulliparous women experience, leading to changes in the surface epithelium of the ovary that predispose them to cancer development. Conversely, factors like early menarche, late menopause, and a family history of breast cancer are also associated with an increased risk of ovarian cancer but are not as commonly observed as nulliparity in the general population.
Which of the following statements is TRUE of Quality Improvement?
- A. Focuses on the organizational structure than patient care
- B. Continually improve every process in the organization.
- C. Centered on people rather than processes.
- D. An approach that is externally driven by the stakeholders.
Correct Answer: B
Rationale: Quality Improvement is a systematic approach that aims to continually enhance the quality of services or products within an organization. The statement that is true of Quality Improvement is that it focuses on continually improving every process in the organization (Option B). This includes processes related to patient care, organizational structure, and all aspects of operations. Quality Improvement involves identifying areas for improvement, implementing changes, monitoring the effectiveness of those changes, and then making further refinements. By focusing on every process within the organization, Quality Improvement helps drive positive outcomes and ensures sustainable improvements in quality and performance.