During the assessment of the integumentary status the nurse determines that an older client is experiencing age-related skin changes. What did the nurse assess to make this clinical decision? (Select all that apply.)

1. Gray hair
2. Thick yellow peeling nails
3. Ecchymosis over bilateral thighs
4. Pustules on the lower neck region
5. Petechiae scattered over the forearms


Answer: 1, 2

1. Hair becomes gray due to a reduction of melanocytes in an older client.
2. Nails may thicken, yellow, and peel in an older client.
3. Ecchymosis is not an age-related skin change.
4. Pustules are not an age-related skin change.
5. Petechiae are not an age-related skin change.

Nursing

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A) Monitor for signs of drug toxicity due to a decrease in metabolism. B) Monitor for an increase in absorption of the drug due to age-related changes. C) Monitor for a paradoxical increase in pain with opioid administration. D) Administer analgesics every 4 to 6 hours as ordered to control pain.

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What are characteristics of vitamins? (Select all that apply.)

a. Are necessary in large doses b. Have the ability to be manufactured by the body c. Regulate metabolic functions in the cells d. Exist in multiple forms and are called vi-tamers e. Are classified as macronutrients

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While conducting the health assessment, the nurse instructs the patient about secondary prevention activities. What did the nurse most likely teach this patient?

A) Immunizations recommended for the patient's age B) Consistent use of seat belts when in a motor vehicle C) Importance of annual vision examinations D) The need for annual mammograms

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A nurse is performing emergency manual external defibrillation (asynchronous) on a patient. At what energy level should the machine be set for an adult patient?

A) 160 joules B) 260 joules C) 360 joules D) 460 joules

Nursing