The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor?
a. Increased vascularity of the skin in the elderly
b. Increased numbers of sweat and sebaceous glands in the elderly
c. An increase in elastin and a ...
NR-509 Physical Assessment Quiz with Answers The nurse is bathing an 80 -year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? a. Increased vascularity of the skin in the elderly b. Increased numbers of sweat and sebaceous glands in the elderly c. An increase in elastin and a decrease in subcutaneous fat in the elderly d. An increased loss of elastin and a decrease in subcutaneous fat in the elderly ✅An increased loss of elastin and a decrease in subcutaneous fat in the elderly A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about three days with his feet down and he wants the nurse to evaluate his feet. During the assessment, the nurse might expect to find a. pallor. b. coolness. c. distended veins d. prolonged capillary filling time. ✅distended veins The nurse notices that a school -aged child has bluish -white, red -based spots in her mouth that are elevated about 1 mm to 3 mm. What other signs would the nurse expect to find in this patient? a. A pink, papular rash on the face and neck b. Pruritic vesicles over her trunk and neck c. Hyperpigmentation on the chest, abdomen, and the back of the arms d. A red -purple, maculopapular, blotchy rash behind the ears and on the face ✅A red -
purple, maculopapular, blotchy rash behind the ears and on the face The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse would report this as a a. bulla. b. wheal. c. wheal. d. papule. ✅papule. A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow -up appointment. On assessment, the nurse might expect to see which assessment finding? a. Anasarca b. Scleroderma c. Pedal erythema d. Clubbing of the nails ✅Clubbing of the nails A 19-year-old college student is brought to the emergency department with a severe headache he describes as "like nothing I've ever had before." His temperature is 104° F, and he has a stiff neck. The nurse looks for other signs and symptoms of which probl em? a. Head injury b. Cluster headache c. Migraine headache d. Meningeal inflammation ✅Meningeal inflammation During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. Acutely infected lymph nodes would be a. clumped. b.unilateral. c. firm but freely movable. d. firm and nontender. ✅firm but freely movable. A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he has a. Cushing's syndrome. b. Parkinson disease. c. Bell's palsy. d. had a cerebrovascular accident (stroke). ✅had a cerebrovascular accident (stroke). A male patient with a history of AIDS has come in for an examination and he states, "I think that I have the mumps." The nurse would begin by examining the a. thyroid gland. b. parotid gland. c. cervical lymph nodes. d. mouth and skin for lesions. ✅parotid gland When examining the eye, the nurse notices that the patient's eyelid margins approximate completely. The nurse recognizes that this assessment finding a. is expected. b. may indicate a problem with extraocular muscles. c. may result in problems with tearing. d. indicates increased intraocular pressure. ✅is expected During an assessment, the nurse notices that an elderly patient has tears rolling down his face from his left eye. Closer examination shows that the lower lid is loose and rolling outward. The patient complains of his eye feeling "dry and itchy." Which act ion by the nurse is correct? a. Assess the eye for a possible foreign body. b. Document the finding as ptosis. c. Assess for other signs of ectropion.
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