The RN is explaining to an elderly client why the skin folds and sags as part of the normal aging process. What is the correct mechanism for this?

Increasing capillary fragility

increased sebaceous and sweat glands.

Decreased collagen.

Lose elasticity

Answer and Explanation

The Correct Answer is C

A.   Increasing capillary fragility contributes to bruising and bleeding but does not directly cause skin folding or sagging.
B.   Increased sebaceous and sweat glands may affect skin texture but are not the primary cause of sagging skin.
C.   Decreased collagen is the primary reason for skin sagging in aging, as collagen provides structure and elasticity to the skin. With age, collagen production decreases, leading to wrinkles and sagging.
D.   Loss of elasticity is a consequence of reduced collagen and elastin fibers, contributing to skin changes, but decreased collagen is the main cause of the sagging.

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Correct Answer is B

Explanation

A. Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B. In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C. Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D. Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.

A. Top-to-bottom comparison B. Posterior-to-anterior comparison C. Interspace-by-interspace comparison D. Side-to-side comparison

Correct Answer is D

Explanation

A. Top-to-bottom comparison is not the best method for auscultation. A more systematic approach is needed.
B. Posterior-to-anterior comparison does not apply to all auscultation areas, and a consistent method across the thorax is preferred.
C. Interspace-by-interspace comparison involves comparing sounds across different intercostal spaces but is not a method for transitioning between sites.
D. Side-to-side comparison ensures the nurse is assessing both sides of the thorax equally and systematically, which is the correct approach.

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The RN is explaining to an elderly client why the skin folds and sags as part of the normal aging process. What is the correct mechanism for this?

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Naxlex Comprehensive Predictor Exams

During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

Correct Answer is B

Explanation

The nurse is observing the auscultation technique of a student nurse. What is the correct method to use when progressing from one auscultatory site on the thorax to another?

Correct Answer is D

Explanation

During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

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