An African American client reports to the primary health center with complaints of itching and rashes after consumption of shellfish. On examination, the nurse finds a keloid on the client's back. What is the most appropriate response by the nurse?
A) Inform the physician about it.
B) Consider it as normal in the subculture.
C) Request biochemical investigations.
D) Consider it as an allergic reaction to shellfish.
B
Feedback:
The nurse should consider the appearance of keloids as normal in African Americans. Keloids are irregular, elevated, thick scars found commonly in dark-skinned clients. Informing the physician or requesting biochemical investigations is inappropriate, as this condition is not pathologic. Also, keloids are not the result of allergic reactions.
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