A nurse is teaching a group of assistive personnel about the expected Integumentary changes in older adult clients. Which of the following findings should the nurse include in the teaching?
Increase in subcutaneous tissue
Decrease in pigmentation
Increase in moisture levels
Decrease in elasticity
The Correct Answer is D
A. Increase in subcutaneous tissue. Aging is associated with a decrease in subcutaneous fat, especially in the face, hands, and lower extremities, leading to thinner and more fragile skin.
B. Decrease in pigmentation. While some areas may lose pigmentation (e.g., hair turning gray), the skin often develops age spots or hyperpigmentation due to prolonged sun exposure.
C. Increase in moisture levels. Aging skin produces less sebum, leading to dryness rather than increased moisture.
D. Decrease in elasticity. Collagen and elastin fibers in the skin break down over time, leading to decreased skin elasticity, which contributes to wrinkles and sagging.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Ensure the cane has a rubber cap. A rubber cap provides stability and prevents slipping, reducing fall risk.
B. Hold the cane on the weaker side. The cane should be held on the stronger side to provide support while stepping forward with the weaker leg.
C. Flex the elbow slightly when using the cane. The elbow should be slightly flexed (15-30 degrees) when holding the cane for optimal support and comfort.
D. Move the cane and stronger leg forward simultaneously. The cane and weaker leg should move forward together to maintain balance, followed by the stronger leg stepping forward.
E. Use a quad cane for increased support. A quad cane provides a broader base of support and is recommended for clients who need extra stability.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
i. Clean the puncture site with antiseptic and allow it to dry helps reduce the risk of infection and ensures an accurate reading by preventing contamination.
ii. Wipe away the first drop of blood before collecting the sample is the best next step because the first drop may contain tissue fluid, which can affect glucose accuracy.
Incorrect answers:
i
Warming the client's hand before performing the fingerstick improves blood flow, making it easier to obtain an adequate sample, especially in clients with diabetes who may have impaired circulation.
Massage the finger gently from the base toward the tip before puncturing promotes blood flow but should be done carefully to avoid excess squeezing, which can lead to inaccurate results.
ii
Ensure the client's hand is below heart level when obtaining the sample encourages blood flow, making collection easier.
Apply firm pressure to the site after obtaining the sample prevents excessive bleeding and helps close the puncture site.
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