A client is very concerned about a vesicle on the lip that extends onto the skin. The patient's history reveals this vesicle has been present for 3 days. After assessing the vesicle, the nurse concludes that the vesicle is probably:
1. A herpes infection.
2. Skin cancer.
3. Due to systemic dehydration.
4. Due to a recent injury.
A herpes infection
Rationale: Herpes is a viral infection that presents with a vesicle on the lip that extends onto the skin. Skin cancer most commonly occurs on the lower lip or underside of the tongue and is suspected when there is an open area that does not heal. Systemic dehydration may be manifested in dry, scaling, cracking lips. A lesion from a recent injury would vary depending on the exact injury, and a history of the injury would be determined during the history.
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