Which term should the nurse use to document a raised, fluid-filled lesion smaller than 1 centimeter?

A. Hand hygiene: Hand hygiene is a measure to break the chain of infection by reducing the number of microorganisms on hands. It is not a reservoir of infection.
B. Wearing personal protective equipment (PPE): PPE is used to protect healthcare workers and patients from exposure to infectious agents. It does not serve as a reservoir for infection.
C. Proper disposal of sharps: Proper disposal of sharps is important to prevent needlestick
injuries and transmission of bloodborne pathogens but does not represent a reservoir of infection.
D. A contaminated surface: A contaminated surface can serve as a reservoir for infectious agents.
Reservoirs are places where infectious agents can survive and multiply, posing a risk of transmission to susceptible individuals.

A. Pupil size and reaction: Pupil size and reaction are typically assessed to monitor neurological function and are not directly related to tissue integrity.
B. Heart rate and blood pressure: Heart rate and blood pressure are vital signs that provide information about cardiovascular function but do not specifically assess tissue integrity.
C. Respiratory rate and oxygen saturation: Respiratory rate and oxygen saturation are indicators of respiratory function and oxygenation status and are not directly related to tissue integrity.
D. Skin turgor and moisture: Skin turgor, the skin's ability to return to its normal shape after being pinched, and moisture levels are important assessments for monitoring tissue hydration and integrity. Changes in skin turgor and moisture can indicate dehydration, which can impair tissue integrity and wound healing.