An abnormal skin change in older people that the nurse needs to be aware of is
a. Skin folds under the breasts
b. Senile keratosis or senile lentigines skin lesion
c. Thinning scalp hair
d. Pressure ulceration over a bony prominence
D
Ulcerations of the skin are abnormal skin changes. Development of a pressure ulcer might be a sign of lack of activity or repositioning. Responses A, B, and C all are normal skin changes.
You might also like to view...
The nurse is caring for a postpartum patient who is receiving IV antibiotics and supportive care for endometritis. Which finding should the nurse report immediately?
A) Gradually decreasing temperature and pulse rate B) Breast-feeding C) Steadily decreasing volume of urine D) Excessive diaphoresis
It is helpful to have orientation sessions for acquiring leadership skills for nurses assuming the charge nurse role. Ideally, these sessions would include:
A. Practice with an experienced charge nurse who will offer constructive feedback and exercises to practice solving conflict management scenarios B. Assertiveness training and practice time developing staff scheduling C. Budget training and hints for running staff meetings D. Homework covering development of a business plan for opening a unit's satellite program
The nurse has just taken vital signs for a 30-year-old client. Based on the results, the nurse will report the following finding that is out of the expected range for a client of this age:
1. T = 37.4° C 2. P = 110 beats/min 3. R = 20 breaths/min 4. BP = 120/76 mm Hg
All of the following are characteristics associated with atrophic skin EXCEPT:
A) fatty deposits B) fragility C) thinning D) aging