When assessing a client's skin, the nurse finds clusters of lesions. How would the nurse document the lesions?

Confluent

Discrete

Grouped

Annular

Answer and Explanation

The Correct Answer is C

A.   Confluent lesions merge together, forming a larger area of affected skin, which is not the case here.
B.   Discrete lesions are separate and distinct from each other, which doesn't match the description of clusters.
C.   Grouped lesions are those that appear in clusters, which fits the assessment finding.
D.   Annular lesions have a ring-like appearance, typically seen in conditions like ringworm, and do not fit the description of clustered lesions.

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Correct Answer is D

Explanation

A. A nodule is a solid, raised lesion that is typically larger than 1 cm in diameter and extends deeper into the skin.
B. A papule is a small, raised, solid lesion, less than 1 cm, but not typically used for documenting freckles.
C. A wheal is a raised, erythematous area, often a result of an allergic reaction, not a freckle.
D. A macule is a flat, pigmented area of skin, less than 1 cm in diameter, which accurately describes freckles.

A. Assess risk for immediate harm. B. instruct the client on how to leave the relationship. C. Implement a safety plan. D. Refer the client to a community support group.

Correct Answer is A

Explanation

A. Assess risk for immediate harm should be the priority. The nurse needs to evaluate whether the client is in immediate danger and take the necessary steps to ensure their safety.
B. Instructing the client on how to leave the relationship is important, but the priority is to assess if the client is in immediate danger first.
C. Implementing a safety plan is essential, but first, the nurse must assess the immediate risks to the client's safety.
D. Referring the client to a community support group is a supportive action but should follow the priority steps of ensuring safety and assessing immediate harm.

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When assessing a client's skin, the nurse finds clusters of lesions. How would the nurse document the lesions?

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Naxlex Comprehensive Predictor Exams

When assessing a client's skin, the nurse finds freckles. How would the nurse document the lesions?

Correct Answer is D

Explanation

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