Author Question: The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm ... (Read 54 times)

fahad · **on:** Jun 25, 2018

The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse reports this as a:

a. Bulla.
b. Wheal.
c. Nodule.
d. Papule.

Question 2

A newborn infant has Down syndrome. During the skin assessment, the nurse notices a transient mottling in the trunk and extremities in response to the cool temperature in the examination room. The infant's mother also notices the mottling and

asks what it is. The nurse knows that this mottling is called:
a.
Caf au lait.
b.
Carotenemia.
c.
Acrocyanosis.
d.
Cutis marmorata.

Animal_Goddess · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
A papule is something one can feel, is solid, elevated, circumscribed, less than 1 cm in diameter, and is due to superficial thickening in the epidermis. A bulla is larger than 1 cm, superficial, and thin walled. A wheal is superficial, raised, transient, erythematous, and irregular in shape attributable to edema. A nodule is solid, elevated, hard or soft, and larger than 1 cm.

Answer to Question 2

ANS: D
Persistent or pronounced cutis marmorata occurs with infants born with Down syndrome or those born prematurely and is a transient mottling in the trunk and extremities in response to cool room temperatures. A caf au lait spot is a large round or oval patch of light-brown pigmentation. Carotenemia produces a yellow-orange color in light-skinned persons. Acrocyanosis is a bluish color around the lips, hands and fingernails, and feet and toenails.