Evolve HESI Practice Exam

How should the nurse document a rash that appears as numerous flat red areas measuring between pinpoint and 0.5 cm?

1. Red, raised rash of various sizes.

2. Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.

3. Extensive hives with varied sizes on the arm.

4. Patchy rash with uneven coloration.

The correct answer is: Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter.

The documentation of a rash should be both precise and descriptive to accurately convey its characteristics. The chosen option emphasizes that the rash consists of "flat areas," which is crucial in distinguishing it from a raised rash. This specificity is important because the texture of the lesions—flat versus raised—can indicate different underlying conditions or causes. Additionally, stating the size range as "pinpoint to 0.5 cm in diameter" provides clear parameters for assessment, enabling more effective follow-up and evaluation. When documenting a medical condition, clarity helps other healthcare professionals understand the patient’s situation without ambiguity. This option succeeds in providing an accurate depiction of the rash's morphology, which is vital in clinical decision-making and may guide further diagnostic processes or treatments.