Questions with verified solutions & rationales
1. Prevention and early treatment of Lyme’s disease are crucial because late complications of this disease include:
A. Sterility
B. Renal failure
C. Lung abscess
D. Arthritis (Correct Answer)
If Lyme disease goes untreated, arthritis, neurological problems, and cardiac abnormalities may arise as a late complications. The first sign of Lyme disease is typically a skin lesion that enlarges and has a characteristic red border. However, not all pt develop this lesion.
Opt A,B,C are incorrect because they aren’t complications of Lyme disease.
2. A pt, age 28, is admitted with a suspected malignant melanoma on his left shoulder. When performing the physical assessment, the nurse would expect to find which of the following?
A. A brown birthmark that has lightened in color
B. An area of petechiae
C. A brown or black mole with red, white, or blue areas (Correct Answer)
D. A red birthmark that has recently become darker
Melanomas have an irregular shape and lack uniformity in color. They may appear brown or black with red, white, or blue areas.
Opt A,B, and D contain inaccurate information.
3. A pt, age 32, is admitted with a tentative diagnosis of acquired immunodeficiency
syndrome (AIDS). The practitioner orders biopsy of his facial lesions; the preliminary biopsy report indicates Kaposi’s sarcoma. Which of the following would be the nurse’s best approach?
A. Tell the patient that Kaposi’s sarcoma is common in people with AIDS.
B. Pretend not to notice the lesions on the patient’s face.
C. Inform the patient of biopsy results, and support him emotionally
D. Explore the patient’s feeling about his facial disfigurement:
Correct answer – D
Facial lesions can contribute to situational low self-esteem and a disturbed body image. Kaposi’s sarcoma is among the many psychosocial and physical traumas that may confront the patient with AIDS; anxiety , anger, grief, and depression are common emotional responses. The nurse who works with patients who have AIDS must develop excellent listening skills. The pt. maybe especially concerned that others will realize he has Kaposis Sarcoma.
OPT A. doesn’t provide emotional support.
OPT B. ignores the patient’s concerns.
OPT C is incorrect because the practitioner should inform the patient of the biopsy results, not the nurse.
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