A nurse is working in a skilled nursing facility and is performing an assessment on an older adult client. The nurse notes that the client has hypopigmentation of the skin on both hands. Based on this data, which condition does the nurse suspect?

A) Hyperplasia of melanocytes
B) Decreased perfusion of the dermis
C) Increased permeability of the epidermal layer
D) Hyperplasia of capillaries


Answer: A

Hypopigmentation, also known as age spots, is a common finding on the back of the hands of an older adult. Hypopigmentation is caused by hyperplasia of melanocytes. The other findings are incorrect.

Nursing

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A pediatric nurse is assigned phone triage for the shift. The nurse takes a call from the mother of a 3-month-old infant. The mother tells the nurse that the child has been vomiting and experiencing diarrhea for several days

Which response by the nurse is the most appropriate? A) "You should bring the infant in to be seen by the doctor." B) "Give your baby at least 2 ounces of juice every 2 hours." C) "Give your baby 50 mL of glucose water every hour." D) "Measure your baby's urine output for 24 hours and call back tomorrow."

Nursing

The nurse is caring for an older patient recently diagnosed with cancer. The nurse is concerned about the patient moving towards a trajectory of frailty. What laboratory findings support the nurse's concern?

1. Hemoglobin 12 g/dL 2. Hematocrit 40 g/dL 3. Serum albumin less than 2.5 g/100 dL 4. Serum albumin greater than 2.5 g/100 dL

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In which type of AV block does the PR interval lengthen until a beat is dropped?

a. First-degree AV block c. Second-degree Mobitz II AV block b. Second-degree Mobitz I AV block d. Third-degree AV block

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