A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding?
While inspecting the skin, a nurse notices a lesion on the patient's upper right arm. What is the best way to document the size of this lesion?
A. Compare its size to the size of a coin.
B. Estimate its size to the nearest inch.
C. Use a centimeter ruler to measure the lesion.
D. Trace the lesion onto a piece of paper.C. Use a centimeter ruler to measure the lesion.A nurse is performing an admission physical examination on a patient who has been bedridden for a month. The nurse notices a pressure ulcer on the patient's left trochanter area that involves partial-thickness skin loss with no damage to the subcutaneous tissue. The nurse reports this ulcer at what stage?
A. Stage I
B. Stage II
C. Stage III
D. Stage IVB. Stage II