What characteristics would the nurse expect to assess in a patient with a keloid scar?
A) Scar is within boundaries of original injury.
B) Scar extends beyond border of original injury.
C) Scar develops within 1 month of injury.
D) Scar is pruritic and edematous.
B) Scar extends beyond border of original injury.
Explanation: A) Keloid scars are raised above the level of the surrounding skin and extend beyond the boundary of the original injury. Hypertrophic scars are raised above the level of the surrounding skin. However, unlike keloids, hypertrophic scars grow within the boundaries of the original injury and often regress spontaneously.
B) Keloid scars are raised above the level of the surrounding skin and extend beyond the boundary of the original injury.
C) Keloids usually appear from 6 months to 1 year after wounding. They tend to grow over time, do not regress spontaneously, and almost always recur after simple excision. Hypertrophic scars develop within the first month after wounding.
D) Unlike keloids, hypertrophic scars may be pruritic and edematous but are often less painful than keloids.
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