The nurse is performing an assessment on an older adult client. ...

[bclement10]

The nurse is performing an assessment on an older adult client. Which finding will warrant further investigation?
 
  1. Slight bulging along the lower eyelids.
  2. Reduced perspiration.
  3. Reduced sebum production.
  4. Large white spots on the upper arms and trunk.

Question 2

The nurse is assessing a newborn client who was born 5 minutes ago and notes six fingers on the left hand. Which term will the nurse use when documenting this finding in the medical record?
 
  1. Syndactyly.
  2. Polydactyly.
  3. Brachial plexus injury.
  4. Erb palsy.

[itsakadoozi]

Answer to Question 1

Correct Answer: 4
The presence of large white spots may be vitiligo. The presence and underlying cause of integumentary changes will need to be evaluated. The loss of skin elasticity around the eyes is associated with bulging in the lower eyelids. A reduction in the number of sweat glands is a normal occurrence in aging and results in a reduced production of perspiration. Reduced sebum production from the sebaceous glands is a normal finding in the aging client.

Answer to Question 2

Correct Answer: 2
Polydactyly is the presence of extra fingers. Syndactyly is a term used to describe the presence of webbed fingers. A brachial plexus injury results in paralysis of the shoulder and upper arm from birth trauma. Entire brachial plexus palsy results in no movement of the shoulder, arm, and hand. Unfortunately, this type of brachial plexus injury has a poor prognosis. Erb palsy is one type of brachial plexus injury. It is a transient condition that results in paralysis of the shoulder and upper arm.

[bclement10]

TYSM

[nyrave]

Excellent