The nurse is performing an assessment on an older adult client. Which finding will warrant further investigation?

1. Slight bulging along the lower eyelids.
2. Reduced perspiration.
3. Reduced sebum production.
4. Large white spots on the upper arms and trunk.


Correct Answer: 4
The presence of large white spots may be vitiligo. The presence and underlying cause of integumentary changes will need to be evaluated. The loss of skin elasticity around the eyes is associated with bulging in the lower eyelids. A reduction in the number of sweat glands is a normal occurrence in aging and results in a reduced production of perspiration. Reduced sebum production from the sebaceous glands is a normal finding in the aging client.

Nursing

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