Assessment of the client's skin reveals a fluid-filled ...

[itsmyluck]

Assessment of the client's skin reveals a fluid-filled circumscribed elevation of 0.4 cm. The nurse identifies this as a:
 
  1. Nodule
  2. Macule
  3. Vesicle
  4. Wheal

Question 2

The expected appearance of the oral mucosa in a light-skinned adult is:
 
  1. Pinkish-red, smooth, and moist
  2. Light pink, rough, and dry
  3. Cyanotic, with rough nodules
  4. Deep red, with rough edges

[xiaomengxian]

Answer to Question 1

ANS: 3
This finding is consistent with the definition of a vesicle. A nodule is an elevated solid mass, deeper and firmer than a papule, 0.5-2.0 cm. A macule is a flat, nonpalpable change in skin color, smaller than 1 cm. A wheal is an irregularly-shaped, elevated area or superficial localized edema that varies in size.

Answer to Question 2

ANS: 1
Normal mucosa in a light-skinned adult is glistening, pinkish-red, soft, moist, and smooth. Oral mucosa may appear more dry in an older adult because of reduced salivation but is not rough. Cyanotic mucosa with rough nodules would be an abnormal finding. Oral mucosa should not appear deep red with rough edges in a light-skinned adult.

[itsmyluck]

Thank you!

[xiaomengxian]

Always glad to help...