Page 1230 - Saunders Comprehensive Review For NCLEX-RN

Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Adult Health: Integumentary
Health Problem: Adult Health: Integumentary: Inflammations/Infections
Priority Concepts: Client Education; Tissue Integrity
Reference: Lewis et al. (2017), p. 1643.

425. Answer: 2

Rationale: Cellulitis is an infection of the dermis and underlying hypodermis that
results in a deep red erythema without sharp borders and spreads widely
throughout tissue spaces. The skin is erythematous, edematous, tender, and
sometimes nodular. Erysipelas is an acute, superficial, rapidly spreading
inflammation of the dermis and lymphatics. The infection is not superficial and
extends deeper than the epidermis.
Test-Taking Strategy: Eliminate options 3 and 4 because they are comparable or
alike and address the lymphatics. Eliminate option 1 because of the closed-ended
word “only.”
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Integumentary
Health Problem: Adult Health: Integumentary: Inflammations/Infections
Priority Concepts: Client Education; Tissue Integrity
Reference: Lewis et al. (2017), p. 414.

426. Answer: 4, 5

Rationale: Psoriasis skin lesions include thick reddened papules or plaques
covered by silvery-white patches. A decrease in the severity of these skin lesions is
noted as an improvement. The presence of striae (stretch marks), palpable pulses, or
lack of ecchymosis is not related to psoriasis.
Test-Taking Strategy: Focus on the subject, manifestations of psoriasis. Use
knowledge regarding the pathophysiology and signs and symptoms associated with
psoriasis. This will direct you to the correct options detailing a decrease in the
psoriatic signs.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Adult Health: Integumentary
Health Problem: Adult Health: Integumentary: Inflammations/Infections
Priority Concepts: Clinical Judgment; Tissue Integrity
Reference: Lewis et al. (2017), pp. 417, 419.

427. Answer: 2

Rationale: With the classic presentation of herpes zoster, the clinical examination

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