A client is experiencing elevated fluid-filled lesions on the ...

[c0205847]

A client is experiencing elevated fluid-filled lesions on the skin. The nurse would document these lesions as being:
 
  1. macules.
  2. nodules.
  3. vesicles.
  4. wheals.

Question 2

The nurse is discussing an elderly client's diet and nutritional status with the hospital dietitian because this client is at risk for:
 
  1. obesity.
  2. malnutrition.
  3. sodium imbalance.
  4. a blood disorder.

[yotaSR5]

Answer to Question 1

3
Vesicles are elevated, fluid-containing lesions. Macules are flat, circumscribed changes of the skin. Nodules are elevated, solid lesions. Wheals are solid elevations formed by local, superficial, transient edema, usually in response to a pruritic condition.

Answer to Question 2

2
Causes of malnutrition during a hospital stay include disease state or inadequate food intake because of pain, nausea, and the different types of foods available in the hospital. An elderly client in the hospital is not at risk for obesity. A sodium imbalance can occur both prior to or during a hospital stay. The nurse would not be discussing a client's nutritional status with a dietitian because a client is a risk for a blood disorder.