The nurse observes that a client has a deep, irregularly shaped area of skin loss extending into the dermis on the lower extremity. The nurse documents that the client has:
A)
an ulcer.
B)
a fissure.
C)
a wheal.
D)
a macule.
A
Explanation:
A)
The description defines the characteristics of an ulcer. Fissures are linear cracks with sharp edges. A wheal is elevated and fluid filled, with an irregular border. A macule is a flat, nonpalpable change in skin color.
Application
Assessment
Physiological Integrity: Physiological Adaptation
B)
The description defines the characteristics of an ulcer. Fissures are linear cracks with sharp edges. A wheal is elevated and fluid filled, with an irregular border. A macule is a flat, nonpalpable change in skin color.
Application
Assessment
Physiological Integrity: Physiological Adaptation
C)
The description defines the characteristics of an ulcer. Fissures are linear cracks with sharp edges. A wheal is elevated and fluid filled, with an irregular border. A macule is a flat, nonpalpable change in skin color.
Application
Assessment
Physiological Integrity: Physiological Adaptation
D)
The description defines the characteristics of an ulcer. Fissures are linear cracks with sharp edges. A wheal is elevated and fluid filled, with an irregular border. A macule is a flat, nonpalpable change in skin color.
Application
Assessment
Physiological Integrity: Physiological Adaptation
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