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Which of the Following Nursing Documentation Best Reflects the Observable

Question 35

Multiple Choice

Which of the following nursing documentation best reflects the observable assessment of skin breakdown on the heel of an African American client?


A) "2-cm area of scaly,dry skin located on the client's right heel."
B) "2-cm area of nonblanching erythema located on the client's right heel."
C) "2-cm area purplish blue in color surrounded by lighter-colored skin located on right heel."
D) "2-cm area of blanching erythema located on the client's right heel;entire foot warm to the touch."

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