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Multiple Choice
Which of the following findings would the nurse recognize as a normal variation when assessing the integumentary system of adult clients?
A
Open ulcer with purulent drainage on the heel
B
Firm, non-blanching nodule with irregular borders
C
Presence of a small, flat, brown macule on the forearm
D
Widespread erythema and blistering on the back
Verified step by step guidance
1
Understand the question: The problem is asking about normal variations in the integumentary system, which includes the skin, hair, nails, and associated glands. The goal is to identify which finding is considered normal in adult clients.
Review the options provided: Analyze each finding to determine whether it represents a normal variation or a pathological condition. For example, an open ulcer with purulent drainage suggests infection and is not normal, while widespread erythema and blistering indicate inflammation or injury.
Focus on the term 'small, flat, brown macule': A macule is a flat, discolored area of the skin that is less than 1 cm in diameter. Brown macules are often associated with freckles or age spots, which are common and considered normal variations in adults.
Compare the findings: Evaluate the characteristics of each option against the definition of normal variations. Normal variations are typically harmless and do not indicate disease or injury, unlike ulcers, nodules, or widespread erythema.
Conclude that the presence of a small, flat, brown macule on the forearm is the correct answer because it aligns with the definition of a normal variation in the integumentary system.