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. Request a prescription for an indwelling urinary catheter. Long-term catheter use increases the risk of infection and is not the first-line intervention for functional incontinence.
B. Remind the client to tell the nurse when he has to urinate. Clients with dementia often have difficulty recognizing or communicating the need to urinate.
C. Take the client to the bathroom on an every-2-hr schedule. Scheduled toileting helps manage incontinence by anticipating the client’s needs and reducing accidents.
D. Use adult diapers to prevent frequent clothing changes. This does not address the underlying issue and may contribute to skin breakdown and decreased dignity.
Correct Answer is A
Explanation
A. Kyphosis: Excessive forward curvature of the thoracic spine, commonly due to osteoporosis-related bone loss in older adults.
B. Scoliosis refers to a lateral curvature of the spine.
C. Lordosis: exaggerated inward curvature of the lumbar spine, often seen in pregnancy or obesity.
D. Ankylosis: abnormal stiffening or fusion of joints, unrelated to spinal curvature.
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