The nurse notices that a school-aged child has bluish-white, ...

[ss2343]

The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth that are elevated approximately 1 to 3 mm. What other signs would the nurse expect to find in this patient?
 
  a. Pink, papular rash on the face and neck
  b. Pruritic vesicles over her trunk and neck
  c. Hyperpigmentation on the chest, abdomen, and back of the arms
  d. Red-purple, maculopapular, blotchy rash behind the ears and on the face

Question 2

The nurse is assessing the skin of a patient who has acquired immunodeficiency syndrome (AIDS) and notices multiple patchlike lesions on the temple and beard area that are faint pink in color. The nurse recognizes these lesions as:
 
  a. Measles (rubeola).
  b. Kaposi's sarcoma. c.
  Angiomas.
  d. Herpes zoster.

[scottmt]

Answer to Question 1

ANS: D
With measles (rubeola), the examiner assesses a red-purple, blotchy rash on the third or fourth day of illness that appears first behind the ears, spreads over the face, and then over the neck, trunk, arms, and legs. The rash appears coppery and does not blanch. The bluish-white, red-based spots in the mouth are known as Koplik spots.

Answer to Question 2

ANS: B
Kaposi's sarcoma is a vascular tumor that, in the early stages, appears as multiple, patchlike, faint pink lesions over the patient's temple and beard areas. Measles is characterized by a red-purple maculopapular blotchy rash that appears on the third or fourth day of illness. The rash is first observed behind the ears, spreads over the face, and then spreads over the neck, trunk, arms, and legs. Cherry (senile) angiomas are small (1 to 5 mm), smooth, slightly raised bright red dots that commonly appear on the trunk in all adults over 30 years old. Herpes zoster causes vesicles up to 1 cm in size that are elevated with a cavity containing clear fluid.

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