The home-care nurse determines that their patient is at risk for further injury due to normal aging sensation loss when they state the following:
1. "I have this large red mark on my arm and I think it occurred yesterday from cooking."
2. "I can't remember what I ate for lunch yesterday."
3. "I got a small cut on my arm from a zipper when I was getting dressed yesterday."
4. "I have some discolorations on my arm, but they have been there for months."
1. "I have this large red mark on my arm and I think it occurred yesterday from cooking."
Explanation: 1. With normal aging there is a gradual decline in both touch and pressure sensations, causing the older adult to be at risk for injury such as burns and pressure sores.
2. There is no indication that the patient has memory loss.
3. A skin tear is a dramatic separation of the dermis.
4. Bruised or discolored skin would be seen in senile purpura.
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