The nurse is preparing for a certification course in skin care and needs to be familiar with the various lesions that may be identified on assessment of the skin. Which of the following definitions are correct?
Select all that apply.
a.
Petechiae: Tiny punctate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple, or brown in color
b.
Bulla: Elevated, circumscribed lesion filled with turbid fluid (pus)
c.
Papule: Hypertrophic scar
d.
Vesicle: Known as a friction blister
e.
Nodule: Solid, elevated, and hard or soft growth that is larger than 1 cm
Question 2A patient has been admitted to a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area. The nurse examines the pressure ulcer and determines that it is a stage II ulcer.
Which of these findings are characteristic of a stage II pressure ulcer? Select all that apply.
a.
Intact skin appears red but is not broken.
b.
Partial thickness skin erosion is observed with a loss of epidermis or dermis.
c.
Ulcer extends into the subcutaneous tissue.
d.
Localized redness in light skin will blanch with fingertip pressure.
e.
Open blister areas have a red-pink wound bed.
f.
Patches of eschar cover parts of the wound.
Question 3A 52-year-old woman has a papule on her nose that has rounded, pearly borders and a central red ulcer. She said she first noticed it several months ago and that it has slowly grown larger. The nurse suspects which condition?
a. Acne
b. Basal cell carcinoma
c. Melanoma
d. Squamous cell carcinoma
Quick Reply
