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 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 ["A","D","E"]
Explanation
A. Relief of urinary retention. Urinary catheterization is indicated for clients who cannot void effectively, which can lead to bladder distension and complications.
B. Convenience for the nursing staff or the client's family. Catheterization should never be done for staff convenience due to the high risk of infection (CAUTI - catheter-associated urinary tract infection).
C. Routine acquisition of a urine specimen. Routine urine specimens should be obtained through clean-catch or midstream methods, unless a sterile sample is required for culture and sensitivity testing.
D. Measurement of residual urine after urination. Catheterization may be needed to measure post-void residual volume in cases of urinary retention.
E. Presence of an open perineal wound. A catheter can help prevent urine contamination of an open wound in the perineal area, reducing the risk of infection.
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