Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?
a. Several dry, scaly patches on the face
b. Numerous varicosities noted on both legs
c. Dilation of small blood vessels on the face
d. Petechiae present on the chest and abdomen
ANS: D
Petechiae are caused by pinpoint hemorrhages and are associated with a variety of serious disorders such as meningitis and coagulopathies. The nurse should contact the patient's health care provider about this finding for further diagnostic follow-up. The other skin changes are associated with aging. Although the other changes will also require ongoing monitoring or intervention by the nurse, they do not indicate a need for urgent action.
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