The health care provider documents in the client's chart the presence of petechiae on the anterior thorax, arms, and neck of a client. Which sign should a nurse expect to observe while providing care?
small, reddish-purple, flat spots on the skin or mucous membranes.
Irregularly shaped, reddish, raised spots on the skin and mucous membranes.
Dime-sized, purplish white, raised blotches across all affected skin surfaces.
Large brown spots on the front of the chest, around the arms, and over the neck.
The Correct Answer is A
Petechiae are small, reddish-purple, flat spots on the skin or mucous membranes that occur as a result of bleeding under the skin. Petechiae can occur due to a variety of reasons such as trauma, infection, or bleeding disorders. In this scenario, the health care provider has documented the presence of petechiae on the anterior thorax, arms, and neck of the client. Therefore, the nurse should expect to observe small, reddish-purple, flat spots on the skin or mucous membranes while providing care to the client.
Option b describes purpura, which is characterized by irregularly shaped, reddish, raised spots on the skin and mucous membranes. Option c describes urticaria, which is characterized by dime-sized, purplish white, raised blotches across all affected skin surfaces. Option d describes café-au-lait spots, which are large brown spots that may be present at birth or develop later in life.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
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Correct Answer is B
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