Author Question: A nurse is working in a skilled nursing facility and is performing an assessment on an older adult ... (Read 53 times)

RODY.ELKHALIL · **on:** Jun 25, 2018

A nurse is working in a skilled nursing facility and is performing an assessment on an older adult client. The nurse notes that the client has hypopigmentation of the skin on both hands. Based on this data, which condition does the nurse suspect?

A) Hyperplasia of melanocytes
B) Decreased perfusion of the dermis
C) Increased permeability of the epidermal layer
D) Hyperplasia of capillaries

Question 2

The nurse is providing care to a client who is experiencing skin inflammation and pruritus. Which medication prescriptions does the nurse anticipate for this client? Select all that apply.

A) Erythromycin
B) Bacitracin
C) Gentamycin
D) Desoximetasone
E) Desonide

bookworm410 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Hypopigmentation, also known as age spots, is a common finding on the back of the hands of an older adult. Hypopigmentation is caused by hyperplasia of melanocytes. The other findings are incorrect.

Answer to Question 2

Answer: D, E

Erythromycin is an antibacterial that interferes with bacterial DNA and protein synthesis, causing cell death. Bacitracin and Gentamycin are antibiotics that interfere with bacterial replication and synthesis and are used to treat infections. Desoximetasone and Desonide are topical corticosteroids that relieve inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses.