While bathing an elderly client, the nurse observes the presence of various age-related skin changes. Which of the following skin changes should be of concern to the nurse?
A)
senile lentigines
B)
seborrheic keratosis
C)
actinic keratosis
D)
skin tags
C
Explanation:
A)
Actinic keratoses are reddish raised plaques that can become malignant and should be checked frequently. Senile lentigines (liver spots), seborrheic keratosis (dark raised lesions), and skin tags (excess flaps of skin) are normal with aging and benign.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
Actinic keratoses are reddish raised plaques that can become malignant and should be checked frequently. Senile lentigines (liver spots), seborrheic keratosis (dark raised lesions), and skin tags (excess flaps of skin) are normal with aging and benign.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
Actinic keratoses are reddish raised plaques that can become malignant and should be checked frequently. Senile lentigines (liver spots), seborrheic keratosis (dark raised lesions), and skin tags (excess flaps of skin) are normal with aging and benign.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
Actinic keratoses are reddish raised plaques that can become malignant and should be checked frequently. Senile lentigines (liver spots), seborrheic keratosis (dark raised lesions), and skin tags (excess flaps of skin) are normal with aging and benign.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
You might also like to view...
The nurse is unable to locate an interpreter to support a patient from a non-English-speaking culture. The patient asks a family member to interpret for the staff. What would the nurse do to ensure culturally and linguistically appropriate services for this patient?
A. Use the family member as an interpreter until a non-family member can be located. B. Write the questions down for the patient to answer. C. Do nothing until an interpreter can be located. D. Use sign language.
Which of these is an advantage of implementing a computerized order entry system?
1. Physicians argue for the option to continue traditional methods for ordering 2. Each department is notified simultaneously as orders are processed through the system 3. Increased system access or response time is available to the health care provider 4. Clinicians readily accept the new system, related to work process changes
A 36-year-old woman has been diagnosed as having uterine fibroids. When planning care for this patient, the nurse should know that
a. Fibroids are malignant tumors of the uterus that require radiation or chemotherapy. b. Fibroids will increase in size during the perimenopausal period. c. Abnormal uterine bleeding is a common finding. d. Hysterectomy should be performed.
What is the significant therapeutic aim in treating COPD?
A. To inhibit the production of mucus B. To liquefy mucus and thus eliminate mucus from the lungs C. To improve lung function D. All of these