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

Answer and Explanation

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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Correct Answer is B

Explanation

A. The client takes a 20-min nap each afternoon. Taking a short nap is a healthy coping mechanism and does not indicate ineffective coping.

B. The client has gained 4.5 kg (10 lb) in the past month. Sudden weight gain can indicate emotional eating or stress-related metabolic changes, which are signs of ineffective coping.

C. The client takes a walk for 1 hr each day. Walking is a positive coping strategy that helps manage stress.

D. The client is taking a poetry class. Engaging in creative activities is a healthy coping mechanism that can reduce stress.

A. Thickened vertebral disks B. Increased force of isometric contractions C. Decreased chest width D. Decreased muscle mass

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.

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As clients age. skin goes through several changes. Which of the following identifies a change you may see in an elderly client's skin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?

Correct Answer is B

Explanation

A nurse is assisting in preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following alterations is appropriate for the nurse to include?

Correct Answer is D

Explanation

A nurse is observing a newly licensed nurse perform focused data collection on a client who has developed a skin condition. Which of the following questions by the newly licensed nurse requires intervention by the nurse?

A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?

A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

A nurse is caring for a 6-month-old infant who is postoperative. Which of the following pain assessment scales should the nurse use to determine the infant's pain level?

An older adult client in a long-term care facility had a stroke 4 weeks ago and has been unable to move independently since that time. The nurse caring for her should observe for which of the following findings that indicates a complication of immobility?

A nurse is contributing to the plan of care for a client who has frequent diarrheal stools. Which of the following interventions should the nurse include in the plan?

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?