Practice Question
A client with dark skin is reporting a painful and itching area on the lower left leg. What should the nurse look for when assessing this client's skin for inflammation?
Answer Choices:
Correct Answer:
Change in consistency.
Rationale:
✴ In clients with darkly pigmented skin, erythema may be difficult to visualize, so nurses prioritize palpation for signs of inflammation.
✴ A change in consistency—such as induration, firmness, or bogginess—signals localized inflammatory changes and interstitial fluid shifts.
✴ Additional supportive findings include increased warmth, tenderness, and edema, which are tactile rather than purely visual cues.
✴ Assessing skin temperature with the dorsum of the hand helps corroborate inflammation when color change is subtle.
✴ Documenting location, size, borders, and associated pruritus or pain guides management and monitoring for progression.
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This question is from HESI RN HEALTH ASSESSMENT WGU EXAM 2 which contains 58 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: 🏡HESI-Health Assessment
- Answer Choices: 4