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

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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Correct Answer is C

Explanation

A. Nasal flaring present. Nasal flaring is a separate sign of respiratory distress, but it does not describe retractions.

B. Suprasternal retractions present. Suprasternal retractions occur above the sternum, not between the ribs.

C. Intercostal retractions present. Intercostal retractions occur between the ribs and indicate difficulty breathing due to increased respiratory effort.

D. Subcostal retractions present. Subcostal retractions occur below the ribcage, not between the ribs.

Correct Answer is ["60"]

Explanation

Convert weight from pounds to kilograms:

165lb÷2.2=75kg

Multiply by the Recommended Dietary Allowance (RDA) for protein:

75kg×0.8g/kg=60g

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child is being evaluated for increased work of breathing. While inspecting the child's chest, the nurse notes pulling in or sucking in of the skin between the child's ribs. How might the nurse accurately document this finding?

Correct Answer is C

Explanation

Correct Answer is ["60"]

Explanation

When reviewing the medical record of a newly assigned client, the nurse notes borborygmus documented to describe bowel sounds on the previous abdominal assessment. The nurse knows this means that the client's bowel sounds were what?

A nurse is collecting data from an older adult client who has had some bone density loss. The nurse observes excessive forward curvature of the thoracic spine. The nurse should document this finding using which of the following terminology?

A nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. The nurse recognizes this is an expected finding for which of the following types of incontinence?

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A nurse is caring for a client who is pregnant and reports constipation. Which of the following recommendations should the nurse make?

A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?

A nurse is collecting data from a client who reports finding a new skin lesion. Which of the following actions is the nurse's priority?