Review of a patient's medical record reveals the presence of petechiae. How would the nurse interpret this information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The patient will have a maculopapular rash that extends over at least 30% of the body.
2. The patient has sustained damage to capillary blood vessels.
3. The patient has sustained bruising trauma.
4. The patient will have small purple or red spots.
5. The patient probably has an infection distal to the point where the petechiae begin.
2,4
Rationale 1: Petechiae do not manifest as a maculopapular rash.
Rationale 2: Petechiae result from damage to capillary blood vessels.
Rationale 3: Petechiae are small areas of hemorrhage and are not considered bruising.
Rationale 4: Petechiae are small purple or red spots on the skin.
Rationale 5: Infection can cause petechiae, but they manifest in many areas, not just proximal to the infection site.
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