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    Ati lpn level 2 med surg proctored exam

    A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse notes that the lesions are 2.5 cm in size, elevated, solid, and deep. The nurse should document the findings as which of the following skin lesions?

    Explanation & Rationale

    A. Macules: Macules are flat, non-palpable changes in skin color that are usually less than 1 cm in diameter. Since the described lesion is elevated, solid, and deep, it does not meet the criteria for a macule, which is a superficial, non-elevated lesion. B. Nodules: Nodules are elevated, solid lesions that are typically 1 to 2 cm or larger in diameter and extend deeper into the dermis or subcutaneous tissue. A 2.5 cm, elevated, solid, and deep lesion fits the definition of a nodule, making this the most accurate documentation. C. Papules: Papules are small, solid, elevated lesions typically less than 1 cm in diameter. They are superficial and do not extend deeply into the dermis. The size and depth of the lesion described exceed the characteristics of papules. D. Bullae: Bullae are fluid-filled blisters that are greater than 1 cm in diameter. Since the lesion in question is solid and not fluid-filled, it cannot be classified as a bulla. The absence of fluid content eliminates this option.

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