As clients age. skin goes through several changes. Which of the following identifies a change you may see in an elderly client's skin?
Bruising that covers the arms and legs
Velvety texture or a gray frosty covering
Large, raised patches that measure greater than 6mm
Thin skin with little subcutaneous fat
The Correct Answer is D
A. Bruising that covers the arms and legs. While elderly clients may bruise easily due to fragile blood vessels, widespread bruising suggests coagulopathy, trauma, or abuse, not normal aging.
B. Velvety texture or a gray frosty covering. Velvety skin can indicate endocrine disorders (e.g., acanthosis nigricans), and a gray frost-like appearance suggests uremia (kidney failure), which is not part of normal aging.
C. Large, raised patches that measure greater than 6mm. Skin lesions greater than 6mm should be evaluated for malignancy (e.g., melanoma, seborrheic keratosis).
D. Thin skin with little subcutaneous fat. Aging causes loss of collagen and subcutaneous fat, making the skin thin, fragile, and prone to injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Right now, I can't bathe or dress myself, but my family will help me." Dependence on family for basic self-care suggests the client is not yet independent enough for discharge.
B. "I can always come stay in the hospital again if I don't want to take care of my own needs." This statement shows a lack of commitment to self-care and reliance on hospitalization as a coping mechanism.
C. "Taking care of myself is important, but it's okay if I don't want to do anything." Readiness for discharge includes a commitment to self-care, and this statement suggests a lack of motivation.
D. "I will take my medicines as I should and know who to call if I have bad thoughts." This statement shows insight into the importance of medication adherence and knowledge of available support resources, indicating readiness for discharge.
Correct Answer is C
Explanation
A. Nasal flaring present. Nasal flaring is a separate sign of respiratory distress, but it does not describe retractions.
B. Suprasternal retractions present. Suprasternal retractions occur above the sternum, not between the ribs.
C. Intercostal retractions present. Intercostal retractions occur between the ribs and indicate difficulty breathing due to increased respiratory effort.
D. Subcostal retractions present. Subcostal retractions occur below the ribcage, not between the ribs.
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