Health Promotion and Maintenance NCLEX Questions - Nurselytic

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Health Promotion and Maintenance NCLEX Questions Questions

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Question 1 of 5

While assessing a client’s skin, the nurse notes the presence of several large red-blue and purple areas on the client’s body that do not blanch when pressure is applied. The nurse documents this finding using which term?

Correct Answer: D

Rationale: Ecchymosis refers to a large patch of capillary bleeding into the tissues, commonly known as a bruise. The color of such an area changes from red-blue or purple to green, yellow, and brown before the area disappears. Pressure on the area will not cause it to blanch. Psoriasis is characterized by scaly erythematous patches with silvery scales on top, usually found on specific areas like the scalp, elbows, knees, low back, and anogenital area. Anasarca is bilateral or generalized edema, indicating a central problem like congestive heart failure or kidney failure. Petechiae are tiny purple or red spots resulting from tiny hemorrhages within the dermal and subdermal areas.
Therefore, in this case, the correct term to document the described finding is Ecchymosis.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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