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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?

A.

Bruising that covers the arms and legs

B.

Velvety texture or a gray frosty covering

C.

Large, raised patches that measure greater than 6mm

D.

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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Related Questions

Correct Answer is C

Explanation

A. Having the client perform range-of-motion exercises of the arm. While movement may improve after treatment, this is not a direct measure of the effectiveness of a cold compress.

B. Inspecting the site for reduced swelling. Cold therapy reduces swelling by vasoconstriction. Swelling reduction can be an indicator of decreased inflammation but it does not provide a direct assessment of the client’s pain levels.

C. Asking the client to rate the pain. This is the most direct and reliable method to determine the effectiveness of a cold compress for pain relief.

D. Monitoring the client's pulse rate. Cold therapy does not significantly affect systemic circulation to the extent that it impacts pulse rate.

Correct Answer is B

Explanation

A. FACES. The Wong-Baker FACES scale is used for children aged 3 years and older who can understand and select a face representing their pain level.

B. FLACC. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and nonverbal children to assess pain through observation of behaviors.

C. Visual Analog Scale. The Visual Analog Scale (VAS) requires the client to point on a numeric pain scale, which is inappropriate for infants who cannot communicate pain verbally.

D. Oucher. The Oucher scale is similar to FACES and is used in children aged 3–12 years. It relies on self-report, which is not feasible for a 6-month-old infant.

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