Practice Question
The nurse is examining a client who reports itching on the right arm, The nurse observes a rash made up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?
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Correct Answer:
Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.
Rationale:
🔷The term macule describes a flat, non-palpable area of discoloration less than 1 cm in diameter, such as redness or hyperpigmentation.
🔷This description fits the finding of flat red areas ranging in size from pinpoint to 0.5 cm, without raised or fluid-filled lesions.
🔷Accurate nursing documentation of skin lesions requires correct terminology (macular, papular, vesicular, pustular) for precise communication with the healthcare team.
🔷Using specific measurements ensures objective assessment and helps track progression or resolution of the rash.
🔷Identifying lesion type guides differential diagnosis, such as differentiating rashes from allergic reactions, infections, or systemic causes.
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This question is from Hesi pre-assessment 1 which contains 59 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Nutrition
- Answer Choices: 4