When assessing a client's skin, the nurse finds freckles. How would the nurse document the lesions?
Nodule
Papule
Wheal
Macule
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cranial nerve V (trigeminal) is not directly related to ataxia or balance. It is more involved in sensory perception of the face and motor function for chewing.
B. Kernig's sign is a test for meningitis, not ataxia or balance issues. It involves flexing the hips and knees to check for resistance or pain that may suggest meningeal irritation.
C. Clubbing is related to chronic oxygenation issues or respiratory/cardiovascular conditions, but it is not a direct assessment of ataxia or balance.
D. A Romberg's test is used to assess balance and proprioception. By having the client stand with feet together and eyes closed, the nurse can assess the client's ability to maintain balance and identify any unsteadiness or ataxia that may impair safe ambulation.
Correct Answer is C
Explanation
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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