Advanced practice nursing in the care of older adults

Advanced Practice
Nursing in the Care of Older Adults . F.A. Davis Company, 2014-01-

14.
VitalBook file.
Points Received: 2 of 2
Comments:
-563888927 MultipleChoice 16 True
0 -563888927 MultipleChoice 16
Question 17. Question :
A patient has a tender, firm, nodular cystic lesion on his scalp that
produces cheesy discharge with foul odor. This is most likely a:
Student
Answer:
Bacterial folliculitis
Basal cell carcinoma
Bullous impetigo
Epidermoid cyst
Instructor
Explanation:
With an epidermoid cyst, the patient complains of a cystic lesion that
produces cheesy discharge with foul odor. The lesion is sometimes tender or
painful. The lesion is nodular, round and firm, and subcutaneous; thus, it is
flesh colored. The most common sites include the face, scalp, neck, upper
trunk, and extremities.
Goolsby
Points Received: 2 of 2
Comments:
-563888926 MultipleChoice 17 True
0 -563888926 MultipleChoice 17
Question 18. Question :
Patient presents with complaint of a “swollen node” under his
arm. The area is tender and the node has progressed in size over
the past few days. Which of the following should be included in
your differential diagnosis?

Student
Answer:
Hidradenitis suppurativa
Epidermoid cyst
Furuncle
Both A and C
Instructor
Explanation:
Hidradenitis suppurativa involves occlusions of hair follicles, which causes
a red, fluctuant tender lesion. The site is commonly under the breast or in
the axillae or groin. The clinician must differentiate this skin condition from
an enlarged lymph node, which can appear similar. An enlarged lymph node
is usually painless, whereas hidradenitis is usually tender. Furuncles are
staphylococcal infections of hair follicles or sebaceous glands. Patients
complain of pain, redness, and swelling at the affected site, commonly the
axillae and groin.
Goolsby
Points Received: 2 of 2
Comments:
-563888925 MultipleChoice 18 True
0 -563888925 MultipleChoice 18
Question 19. Question :
A patient suffered a laceration of the shin three days ago, and
today presents with a painful, warm, red swollen region around
the area. The laceration has a purulent exudate. The clinician
should recognize that the infected region is called:
Student
Answer:
Contact dermatitis
Folliculitis
Hidradenitis suppurativa
Cellulitis
Instructor
Explanation:
In cellulitis, a patient often describes a history of a break in the skin from an
injury, insect bite or sting, or previous procedure preceding the onset of
redness, swelling, and pain at the site. The affected area is tender, swollen,
reddened, and warm. Streptococcus or staphylococcal commonly causes the
infection. The lower leg is a common site, usually unilateral.

Goolsby
Points Received: 2 of 2
Comments:
-563888924 MultipleChoice 19 True
0 -563888924 MultipleChoice 19
Question 20. Question :
A woman complains of malaise and arthralgias. You note a
butterfly-shaped, macular, erythematous rash across her cheeks
and nose. These conditions are common in:
Student Answer:
Psoriasis
Lichen planus
Systemic lupus erythematosus
Erythema nodosum
Instructor
Explanation:
In systemic lupus erythematosus, the patient will have a range of
symptoms relevant
to the diagnosis, depending on the affected organs. There is often