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    Hesi rn d443 health assessment proctored exam

    Which finding, obtained during a skin assessment, should the school nurse report to the healthcare provider?

    Explanation & Rationale

    A. Multiple maculopapular pustules over forehead and chin on an adolescent. This description is consistent with acne vulgaris, a common skin condition in adolescents due to hormonal changes. While acne may require treatment, it is not an urgent finding that requires immediate reporting. B. Bilateral patellar abrasions with eschar formation on a preschool-aged child. Abrasions with eschar (scab) formation suggest healing skin injuries, likely from minor falls or play-related trauma. This is a normal finding in active children and does not require urgent reporting. C. Red, swollen, painful nodule located on upper back on a school-aged boy. This finding is consistent with a skin abscess or possibly a MRSA (methicillin-resistant Staphylococcus aureus) infection, which may require antibiotics or incision and drainage. The presence of pain, swelling, and redness suggests an active infection that should be evaluated by a healthcare provider.

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