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. Dysuria. Dysuria refers to painful or difficult urination, not low urine output.

B. Oliguria. Oliguria is defined as urine output less than 400 mL in 24 hours, which fits this case (250 mL in 24 hours).

C. Nocturia. Nocturia is frequent urination at night, not low urine output.

D. Urgency. Urgency refers to a sudden, strong need to urinate, not decreased urine production.

A. Examine the back before the general inspection of the skin. B. Note dry, flaky skin as an expected finding. C. Use a penlight to examine the back in greater detail. D. Pinch up a fold of skin to check for turgor.

Correct Answer is D

Explanation

A. Examine the back before the general inspection of the skin: Skin assessment should follow a general inspection.

B. Note dry, flaky skin as an expected finding: While common in older adults, it may indicate dehydration or dermatologic conditions.

C. Use a penlight to examine the back in greater detail: Penlights are typically used for darker areas (e.g., mouth, wounds), not flaky skin.

D. Pinch up a fold of skin to check for turgor: Assesses hydration status, which is important since dehydration contributes to dry, flaky skin.

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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 has a urine output of 250 mL in a 24-hr period. Which of the following terms should the nurse use to document this finding in the electronic record?

Correct Answer is B

Explanation

A nurse is collecting data from an older adult client who comes to the clinic with dry, flaky skin on her upper back. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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