The patient has an irregular, elevated, localized area of edema on the left forearm. Which term should the nurse use when documenting?
a. Tumor
b. Wheal
c. Macule
d. Vesicle
B
An irregular, elevated, localized area of edema is a wheal. The nurse documents the approximate size of the wheal. A tumor is a solid mass of abnormal growth larger than 1 to 2 cm (0.4 to 0.8 in). A macule is a flat change in skin pigmentation such as a freckle or petechiae. A vesicle is a round elevation of skin filled with serous fluid.
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Indicate whether the statement is true or false
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