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

Answer and Explanation

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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Correct Answer is D

Explanation

A. The client reports taking the medication 30 min before the prescribed time. Taking a medication slightly earlier is unlikely to significantly affect its therapeutic efficacy.

B. The client received an influenza vaccine 1 month ago. Vaccination does not interfere with arthritis medications unless it triggers an immune response leading to disease flare-up, which is rare.

C. The client reports taking the medication with room temperature water. The temperature of the water does not impact the drug’s effectiveness.

D. The client has a history of recurring bowel inflammation. Chronic bowel inflammation (e.g., Crohn’s disease) can affect drug absorption, reducing medication effectiveness.

A. Takes several steps on tip toes B. Walks without assistance using a wide stance C. Has an accentuated cervical curvature when standing D. Stands with the feet turned slightly inward

Correct Answer is B

Explanation

A. Takes several steps on tiptoes. Typically develops around 24 months, not 15 months.

B. Walks without assistance using a wide stance. At 15 months, toddlers typically walk independently with a wide stance to improve balance.

C. Has an accentuated cervical curvature when standing. Not an expected motor milestone.

D. Stands with the feet turned slightly inward. Inward foot positioning can indicate a developmental delay or foot abnormality.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client Information should the nurse identify as a contributing factor to the decrease in the medication's effectiveness?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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