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

Macule

Vesicle

Papule

Wheal

Answer and Explanation

The Correct Answer is B

A.   Macule: A macule is a flat, discolored area of skin that is smaller than 1 centimeter in diameter and does not contain fluid.
B.   Vesicle: A vesicle is a raised, fluid-filled lesion smaller than 1 centimeter in diameter.
Examples include blisters caused by conditions such as herpes simplex virus or contact dermatitis.
C.   Papule: A papule is a raised, solid lesion smaller than 1 centimeter in diameter that does not contain fluid. Examples include pimples or insect bites.
D.   Wheal: A wheal is a raised, red area of skin that is often accompanied by itching. It is typically caused by an allergic reaction and may have irregular borders.

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Correct Answer is ["A","B"]

Explanation

A. Wearing a protective gown is necessary when caring for a client with C. difficile to prevent the spread of spores and protect the nurse from contact with contaminated surfaces.
B. Placing the client in a private room helps to isolate the infection and prevent transmission to other patients, which is essential in managing C. difficile infections.
C. An N-95 respirator is not required for C. difficile as the primary mode of transmission is via the fecal-oral route, not through airborne particles.
D. A negative pressure room is used for airborne infections like tuberculosis, not for C. difficile. C. difficile requires contact precautions rather than airborne precautions.
E. A mask is not necessary for the client with C. difficile when leaving the room; instead, hand hygiene and proper gowning are essential for preventing the spread of the infection.

A. To relieve itching or discomfort B. To improve the appearance of the skin C. To remove a suspicious lesion D. To treat a skin infection

Correct Answer is C

Explanation

A. To relieve itching or discomfort: Skin biopsies are not typically performed to relieve itching or discomfort. Other treatments, such as topical medications or systemic therapies, may be used for symptomatic relief.
B. To improve the appearance of the skin: Skin biopsies are not performed for cosmetic purposes. They are diagnostic procedures used to obtain tissue samples for examination under a microscope to diagnose or rule out various skin conditions.
C. To remove a suspicious lesion: Skin biopsies are commonly performed to remove suspicious lesions, such as moles, growths, or areas of abnormal skin, for further evaluation and diagnosis.
This helps determine if the lesion is benign or malignant and guides subsequent treatment decisions.
D. To treat a skin infection: Skin biopsies are not performed as a primary treatment for skin infections. Biopsies are diagnostic procedures used to obtain tissue samples for analysis and are not typically indicated for treating infections.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client with the history below: Exhibits A nurse is caring for the client. Which of the following actions should the nurse take? Select (2) answers that apply.

Correct Answer is ["A","B"]

Explanation

A nurse is working in a dermatology clinic. The provider orders a skin biopsy, and you need to educate the client on the purpose of a skin biopsy. Which of the following is indicative of a skin biopsy?

Correct Answer is C

Explanation

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