Author Question: Assessment of the patient's skin reveals a serous fluidfilled circumscribed elevation of 0.4 cm. The ... (Read 79 times)

RYAN BANYAN · **on:** Jul 22, 2018

Assessment of the patient's skin reveals a serous fluidfilled circumscribed elevation of 0.4 cm. The nurse documents this as which one of the following?

a. Nodule
b. Macule
c. Vesicle
d. Wheal

Question 2

The student nurse is assessing the vital signs of a 10-year-old client. What are the expected values for a client of this age?

a. P, 140; R, 50; BP, 80/50
b. P, 100; R, 40; BP, 90/60
c. P, 80; R, 22; BP, 110/70
d. P, 60; R, 12; BP, 160/90

wtf444 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C

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A A nodule is an elevated solid mass, deeper and firmer than a papule, 1 to 2 cm.
B A macule is a flat, nonpalpable change in skin colour, smaller than 1 cm.
C This finding is consistent with the definition of a vesicle.
D A wheal is an irregularly shaped, elevated area or superficial localized edema that varies in size.

Answer to Question 2

C
P, 80; R, 22; BP, 110/70 are expected findings in a 10-year-old client. The normal pulse range for a 10-year-old is 75 to 100 beats per minute, and the normal respiratory rate is 20 to 30 breaths per minute. The average blood pressure for a 10-year-old is 110/65 mm Hg.
P, 140; R, 50; BP, 80/50 are not expected values for a 10-year-old client.
P, 100; R, 40; BP, 90/60 are not expected values for a 10-year-old client.
P, 60; R, 12; BP, 160/90 are not expected values for a 10-year-old client.