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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Thickened vertebral disks: Aging leads to thinning of intervertebral disks, which contributes to a decrease in height and spinal flexibility.
B. Increased force of isometric contractions: Aging results in decreased muscle strength, not increased force of contractions.
C. Decreased chest width: Aging can lead to a barrel chest appearance due to changes in the thoracic cage, rather than a decrease in width.
D. Decreased muscle mass: Sarcopenia, or the loss of muscle mass with aging, is a common musculoskeletal change that contributes to reduced strength and function.
Correct Answer is C
Explanation
A. Itching and scratching of the head. While itching is a common symptom, it is not a definitive sign of head lice. Other conditions (e.g., dandruff, seborrheic dermatitis, or dry scalp) can also cause itching.
B. Patchy areas of hair loss. Hair loss is not a characteristic sign of head lice. It may indicate alopecia areata or tinea capitis (scalp ringworm) instead.
C. Firmly attached white particles on the hair. The presence of nits (lice eggs) that are firmly attached to the hair shaft near the scalp is a definitive sign of pediculosis capitis. Nits do not flake off like dandruff and are difficult to remove.
D. Thick, yellow-crusted lesions on a red base. This describes impetigo, a bacterial skin infection, not head lice.
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