Author Question: A patient has a lesion in the left axilla that is deep, painful, and contains pus. It is 3 ... (Read 69 times)

burchfield96 · **on:** Jun 25, 2018

A patient has a lesion in the left axilla that is deep, painful, and contains pus. It is 3 centimeters in diameter. After the assessment, what type of lesion should the nurse determine that the patient has?

1. furuncle
2. folliculitis
3. carbuncle
4. herpes varicella

Question 2

The mother of a teenage girl voices concerns about her daughter's acne. Which response by the nurse is best?

1. The skin needs to be washed at least twice a day with mild soap and water to remove surface oil.
2. The greatest culprit for acne is dietary habits, not inadequate hygiene.
3. Are you embarrassed by her appearance?
4. What are your concerns about her hygiene practices?

aadams68 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
A furuncle develops when the infection from folliculitis becomes deeper. It is initially a deep, firm, red, painful nodule from 1 to 5 cm in diameter. In folliculitis, a sebaceous gland is obstructed, causing a deep inflammatory reaction and infection most commonly from S. aureus. The lesions appear as pustules surrounded by an area of erythema on the surface of the skin and are accompanied by discomfort ranging from slight burning to intense itching. A carbuncle is a group of infected hair follicles that interconnect. It is about 3 to 10 centimeters in diameter. Herpes varicella (chickenpox) lesions are superficial and usually limited to the face, scalp, and chest.

Answer to Question 2

Correct Answer: 1
The teaching plan for the patient with acne includes general guidelines for skin care and health as well as specific guidelines for care of the acne lesions. The face should be washed with a mild soap and water at least twice a day to remove accumulated oils. Dietary intake and hygiene are not the primary causes of acne. Acne is caused by excess sebum production. It would be premature to address the potential for the mother to be embarrassed about her daughter's condition.