Which age-related skin changes should a nurse anticipate when performing a physical assessment on an 80-year-old man? (Select all that apply.)
a. Increased nasal hair
b. Flattened nails
c. Small macular lesions at the hairline
d. Increased hair on the helix of the ear
e. Presence of seborrheic keratosis
A, B, D, E
Increased hair in the nostrils and ear, flattened discolored nails, and seborrheic keratosis are common age-related skin changes. Macular lesions are abnormal.
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Which of the following is considered a "red flag" when diagnosing a patient with pneumonia?
A. Fever of 102 B. Infiltrates on chest x-ray C. Pleural effusion on chest x-ray D. Elevated white blood cell count
The nurse assesses clients who have a pressure ulcer. Which does the nurse use to recognize a stage III pressure ulcer?
1. Nonblanching and reddened areas of intact skin 2. Extensive destruction of the skin and the muscle 3. Full-thickness skin loss from surface down to bone 4. Full-thickness skin loss from surface down to fascia
A nurse is caring for an industrial accident victim who has suffered blood loss from a nicked blood vessel. The nurse notes that there are no signs of swelling seen at the site of injury
Based on this information, which factor may lead to inability of the blood to clot in the client? A) Low levels of globulin synthesized by the body B) Decrease in the release of chemical mediators C) Release of immature neutrophils by bone marrow D) Deficiency in any of the major coagulant substance
A nursing instructor asks a nursing student what the leading causes of death for pediatric-age patients are. Which of the following statements demonstrates that the student is aware of the leading causes of death for pediatric patients?
1. "Disease and terminal cancer are the leading causes of death for pediatrics.". 2. "Abuse and SIDS are the leading causes of death for pediatrics.". 3. "Accidents or unintentional injuries are the leading causes of death for pediatrics.". 4. "Accidents and congenital defects are the leading causes of death for pediatrics.".