The nurse monitors for which clinical indicator when the older adult complains of pruri-tus?
a. Coarse skin
b. Brown macule
c. Brownish skin
d. Regional edema
A
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A Correct. The nurse is alert for rough, dry, flaky skin when an older adult com-plains of pruritus, to be able to prevent linear excoriation leading to skin breaks, excoriation, inflammation, and infection.
B Incorrect. A brown macule is a freckle or a liver spot, an indication of sun ex-posure.
C Incorrect. Brownish skin is a clinical indicator of venous insufficiency.
D Incorrect. Regional edema is a sign of fluid overload and venous insufficiency; localized edema is a sign of infection.
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