A client's medical record reveals presence of an erythematous urticarial rash with pruritus. What assessment findings would the nurse expect?
1. The area of the rash is red.
2. The area has a raised, bumpy texture.
3. The area involved is warm to the touch.
4. The area itches.
5. The area is scaly.
1,2,4
Rationale 1: Erythema refers to redness often associated with skin rashes.
Rationale 2: Urticaria refers to hives, which present as raised "bumps."
Rationale 3: This may be the case, but the nurse would not expect that from the description given.
Rationale 4: Pruritus is itching.
Rationale 5: While pruritus is often associated with scaly skin, there is nothing in the description that indicates the area is scaly.
Global Rationale: Erythema refers to redness often associated with skin rashes. Urticaria refers to hives, which present as raised "bumps." Pruritus is itching. Warmth may be present, but the nurse would not expect that from the description given. While pruritus is often associated with scaly skin, there is nothing in the description that indicates the area is scaly.
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