What does the nurse recognize this skin lesion as?
- A. A port wine nevus
- B. A strawberry nevus
- C. Exanthem
- D. Intertrigo
Correct Answer: B
Rationale: A strawberry nevus, a common hemangioma, appears weeks after birth as a red area, typically on the neck or face.
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With what is this symptom associated?
- A. Scabies
- B. Pediculosis capitis
- C. Tinea corporis
- D. Eczema
Correct Answer: A
Rationale: Intense itching, especially at night in the axilla and between fingers, is characteristic of scabies.
What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
- A. Get a prescription for oral contraceptives.
- B. Increase the dose of the present medication.
- C. Limit intake of chocolate, cola, and peanuts.
- D. Increase exposure to sunlight.
Correct Answer: A
Rationale: Isotretinoin poses a risk of birth defects, so oral contraceptives are recommended to prevent pregnancy during treatment.
The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old infant. How is infant skin different from adult skin?
- A. Less perfusion
- B. Greater moisture
- C. More perspiration
- D. Greater absorption
Correct Answer: D
Rationale: Infant skin has a greater ability to absorb topical medications compared to adult skin, requiring careful application.
What information can the nurse provide in educating the parents regarding strawberry nevus?
- A. It is a rare skin variation.
- B. It is harmless.
- C. It gradually becomes raised.
- D. Laser treatment is available.
- E. Sometimes it can disappear spontaneously.
Correct Answer: B,C,D
Rationale: Strawberry nevi are harmless, become raised over time, and often resolve spontaneously; laser treatment is an option for complications.
What is the best nursing action?
- A. Report it immediately because it may be a staphylococcus infection.
- B. Keep the affected area dry and clean.
- C. Teach the parents how to care for seborrheic dermatitis.
- D. Chart the finding because it may be the beginning of a strawberry nevus.
Correct Answer: A
Rationale: Small pustules on a newborn may indicate a staphylococcus infection, which is contagious and requires immediate reporting.
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