The nurse assesses a circular,flat,reddened lesion about 5 cm in diameter on a middle-aged patient's ankle. How should the nurse determine if the lesion is related to intradermal bleeding?

Question

Quizplus · Accepted Answer

If the lesion is caused by intradermal or subcutaneous bleeding or a nonvascular cause,the discoloration will remain when direct pressure is applied to the lesion. If the lesion is caused by blood vessel dilation,blanching will occur with direct pressure. The other assessments will assess circulation to the leg but will not be helpful in determining the etiology of the lesion.

The Nurse Assesses a Circular,flat,reddened Lesion About 5 Cm in Diameter