Wgu rn hesi health assessment proctored exam
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 are small, round, flat, pinpoint red spots that may indicate pressure or trauma to capillaries, common in cases of abuse or intimate partner violence. B. Vesicles are small blisters filled with clear fluid, not pinpoint red spots. C. Ecchymosis refers to bruising, where blood collects under the skin, and is typically larger than petechiae. D. Hematomas are larger collections of blood under the skin, often causing swelling, and are not described as pinpoint spots.
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