A patient with a history of chronic allergic dermatitis is concerned because of an area where the skin has become thickened and rough. How would the nurse document this lesion?
1. Excoriation
2. Ulceration
3. Lichenification
4. Ecchymosis
3
Rationale 1: Excoriation is an abrasion of the epidermis.
Rationale 2: Ulceration is a localized area of tissue necrosis.
Rationale 3: Conditions such as chronic dermatitis can cause the epidermis to become rough and thickened. Superficial skin markings also become more visible. This is called lichenification.
Rationale 4: Ecchymosis is a red-purple discoloration of the skin.
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