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    Hesi rn health assessment proctored exam (retest)

    When assessing a client's skin, which finding should the nurse report to the healthcare provider (HCP)?

    Explanation & Rationale

    Rationale: A. Multiple yellow lesions with a grainy surface: These may represent seborrheic keratoses, which are common, benign skin growths seen especially in older adults. They typically do not require urgent medical intervention unless changing rapidly or showing signs of malignancy. B. Large, flat, dark red irregular area on the neck: This finding likely represents a port-wine stain, a type of vascular birthmark. While noticeable, it is generally benign and would not usually necessitate immediate reporting unless there are associated complications or sudden changes. C. Multiple silver striae on the abdomen: Silver striae (stretch marks) are common and typically result from rapid changes in body size, such as during pregnancy, weight gain, or growth spurts. They are benign and do not require healthcare provider notification unless accompanied by concerning symptoms. D. Bluish discoloration of the nailbeds: Cyanosis, indicated by bluish nailbeds, suggests decreased oxygenation or possible cardiovascular or pulmonary compromise. It is a significant clinical finding that warrants immediate reporting to the healthcare provider for further evaluation and management.

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