A client reports to the provider's office with urticaria and elevated lesions on the hands and arms. The client says, "It is very itchy." Which type of lesion would the nurse document?

A. Wheals: Wheals are raised, erythematous, often transient lesions caused by localized edema in the dermis. They are characteristic of urticaria and are intensely pruritic. Wheals may vary in size and shape, can appear anywhere on the body, and often resolve within 24 hours without leaving permanent marks, making them the appropriate lesion type to document in this scenario. B. Macules: Macules are flat, circumscribed changes in skin color, typically less than 1 cm in diameter. They do not involve elevation or swelling and are usually non-itchy. Examples include freckles or flat nevi. Macules do not correspond to the raised, itchy lesions described by the client. C. Plaques: Plaques are elevated, firm, and broad lesions greater than 1 cm, often formed by coalescing papules. They are commonly associated with chronic conditions such as psoriasis. While plaques may be itchy, they are more persistent and not the transient, edematous lesions typical of urticaria. D. Nodules: Nodules are solid, palpable, firm or soft lesions that extend deeper into the dermis or subcutaneous tissue. They are usually longer-lasting and do not resolve rapidly like wheals. Nodules are not consistent with the acute, itchy, elevated lesions of urticaria.