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B traumatic alopecia that can be treated with

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b.Traumatic alopecia that can be treatedwith antifungal medications.c.Tinea capitis that is highly contagious andneeds immediate attention.
d.Trichotillomania; her child probably has ahabit of absentmindedly twirling her hair.DTrichotillomania, self-induced hair loss, is usually due to habit. It forms irregularlyshaped patches with broken-off, stublike hairs of varying lengths. A person is nevercompletely bald. It occurs as a child absentmindedly rubs or twirls the area while fallingasleep, reading, or watching television. (See Table 12-12, Abnormal Conditions of Hair,for descriptions of the other terms.)36.The nurse has discovered decreased skin turgor in a patient and knows that this finding isexpected in which condition?a.Severe obesityb.Childhood growth spurtsc.Severe dehydrationd.Connective tissue disorders such assclerodermaCDecreased skin turgor is associated with severe dehydration or extreme weight loss.37.While performing an assessment of a 65-year-old man with a history of hypertension andcoronary artery disease, the nurse notices the presence of bilateral pitting edema in thelower legs. The skin is puffy and tight but normal in color. No increased redness ortenderness is observed over his lower legs, and the peripheral pulses are equal and strong.In this situation, the nurse suspects that the likely cause of the edema is which condition?a.Heart failureb.Venous thrombosisc.Local inflammationd.Blockage of lymphatic drainageABilateral edema or edema that is generalized over the entire body is caused by a centralproblem such as heart failure or kidney failure. Unilateral edema usually has a local orperipheral cause.38.A 40-year-old woman reports a change in mole size, accompanied by color changes,itching, burning, and bleeding over the past month. She has a dark complexion and has nofamily history of skin cancer, but she has had many blistering sunburns in the past. Thenurse would:a.Tell the patient to watch the lesion andreport back in 2 months.b.Refer the patient because of the
suggestion of melanoma on the basis ofher symptoms.c.Ask additional questions regardingenvironmental irritants that may havecaused this condition.d.Tell the patient that these signs suggest acompound nevus, which is very commonin young to middle-aged adults.BThe ABCD danger signs of melanoma are asymmetry, border irregularity, color variation,and diameter. In addition, individuals may report a change in size, the development ofitching, burning, and bleeding, or a new-pigmented lesion. Any one of these signs raisesthe suggestion of melanoma and warrants immediate referral.39.The nurse is assessing for clubbing of the fingernails and expects to find:a.Nail bases that are firm and slightlytender.

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