A nurse assesses an older adult's skin. Which findings require ...

[gbarreiro]

A nurse assesses an older adult's skin. Which findings require immediate referral? (Select all that apply.)
 
  a. Excessive moisture under axilla
  b. Increased hair thinning
  c. Increased presence of fungal toenails
  d. Lesion with various colors
  e. Spider veins on legs
  f.
  Asymmetric 6-mm dark lesion on forehead

Question 2

A nurse assesses an older adult client with the skin disorder shown below:
 
  How should the nurse document this finding?
  a.
  Petechiae
  b.
  Ecchymoses
  c.
  Actinic lentigo
  d.
  Senile angiomas

[kbennett34]

Answer to Question 1

ANS: D, F
The lesion with various colors, as well as the asymmetric 6-mm dark lesion, fits two of the American Cancer Society's hallmark signs for cancer according to the ABCD method. Other manifestations are variants of normal seen in various age groups.

Answer to Question 2

ANS: A
Petechiae, or small, reddish purple nonraised lesions that do not fade or blanch with pressure, are pictured here. Ecchymoses are larger areas of hemorrhaging, commonly known as bruising. Actinic lentigo presents as paper-thin, transparent skin. Senile angiomas, also known as cherry angiomas, are red raised lesions.