The nurse is charting a skin assessment on the newly admitted client. The client has a large bruise on their right forearm from a fall. The nurse should chart this using what terminology?

 

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Correct

- Macule

- Keloid

- Excoriation

- Ecchymosis

Rationale

Macule is flat and non-palpable and less than one cm in size. Keloid is a healed lession of hypertrophied connective tissue. Excoriation is an abrasion or scratch. Ecchymosis is an area of purpura such as a bruise.

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