The nurse is performing a head-to-toe physical examination on a known victim of intimate partner violence. The visual exam reveals several round, flat, pinpoint, red spots. How should the nurse document this finding?
Explanation & Rationale
A. Petechiae.Petechiae are small, round, flat, pinpoint red or purple spots caused by tiny capillary ruptures under the skin. They do not blanch with pressure and may be associated with trauma, strangulation, or clotting disorders, making this the correct term for documentation. B. Hematoma. A hematoma is a localized collection of blood under the skin or tissues, often appearing as a raised, swollen, and discolored area. Unlike petechiae, hematomas result from larger vessel bleeding and are more prominent. C. Ecchymosis.Ecchymosis refers to larger patches of bruising caused by blood leaking into tissues, commonly seen after blunt trauma. These areas typically change color over time as the blood is reabsorbed. D. Vesicle. A vesicle is a small, fluid-filled blister, often associated with conditions like herpes simplex or chickenpox. Since the described spots are flat and red rather than fluid-filled, vesicle is not the correct term.