The nurse is performing a skin assessment on an African American client and notes an elevated, irregular band of jagged tissue on the client's left arm. The client states, "I had a burn here a long time ago, but it seemed to keep on getting bigger."
Which term will the nurse use when documenting this finding in the client's medical record?
1. Ulcer.
2. Keloid.
3. Fissure.
4. Scar.
Correct Answer: 2
This is most likely a keloid, which is an elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing. It extends beyond the site of the original injury. There is higher incidence in people of African descent. An ulcer is a deep, irregularly shaped area of skin loss extending into the dermis or subcutaneous tissue. A fissure is a crack in the skin extending to the dermis. A scar is connective tissue left after healing, but is flat and usually linear. This tissue is best described as a keloid.
Cognitive Level: Understanding
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