Author Question: A few of the more experienced nurses are sitting around a lunch table discussing the changes they ... (Read 93 times)

jon_i · **on:** Jun 25, 2018

A few of the more experienced nurses are sitting around a lunch table discussing the changes they are seeing in their skin. Which of the following would be considered normal age-related changes? Select all that apply.

A)
Thickening of the dermis layer.
B)
Reduction in subcutaneous tissue.
C)
Increased hair growth on back and legs.
D)
Dry, scaly skin.

Question 2

An 8-year-old child has just been diagnosed with systemic lupus erythematosus (SLE). The parents wonder what the child's prognosis is going to be.

Which of the following findings would be considered a good prognostic indicator of the extent/seriousness of the disease?
A)
Complaints of arthralgias and arthritis in joints with movement
B)
Ligaments and tendons hurt during passive ROM
C)
Has a rash on the nose and cheeks
D)
Swelling in the face and eyes and rust/blood-colored urine

samiel-sayed · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B, D

Feedback:

Normal skin changes associated with aging are seen on areas of the body that have not been exposed to the sun. They include thinning of the dermis and the epidermis, diminution in subcutaneous tissue, a decrease and thickening of blood vessels, and a decrease in the number of melanocytes, Langerhans cells, and Merkel cells. Hair growth is reduced. The skin becomes dry, rough, scaly, and itchy.

Answer to Question 2

Ans:
D

Feedback:

The clinical manifestations of SLE in children reflect the extent and severity of systemic involvement. The best prognostic indicator in children is the extent of renal involvement, which is more common and more severe in children than in adults with SLE. Edema and rusty or bloody urine are classic signs of glomerulonephritis. It is expected that people/children with SLE have arthralgias/arthritis in joints, sore ligaments and tendons, as well as integumentary signs and symptoms like a rash on the nose and cheeks (butterfly rash).