While performing an assessment of a 65-year-old man with a ...

[rachel9]

While performing an assessment of a 65-year-old man with a history of hypertension and coronary artery disease, the nurse notices the presence of bilateral pitting edema in the lower legs. The skin is puffy and tight but normal in color.
 
  No increased redness or tenderness is observed over his lower legs, and the peripheral pulses are equal and strong. In this situation, the nurse suspects that the likely cause of the edema is which condition?
  a.
  Heart failure
  b.
  Venous thrombosis
  c.
  Local inflammation
  d.
  Blockage of lymphatic drainage

Question 2

A mother brings her child into the clinic for an examination of the scalp and hair. She states that the child has developed irregularly shaped patches with broken-off, stublike hair in some places; she is worried that this condition could be some form of
 
  premature baldness. The nurse tells her that it is:
  a.
  Folliculitis that can be treated with an antibiotic.
  b.
  Traumatic alopecia that can be treated with antifungal medications.
  c.
  Tinea capitis that is highly contagious and needs immediate attention.
  d.
  Trichotillomania; her child probably has a habit of absentmindedly twirling her hair.

[HandsomeMarc]

Answer to Question 1

ANS: A
Bilateral edema or edema that is generalized over the entire body is caused by a central problem such as heart failure or kidney failure. Unilateral edema usually has a local or peripheral cause.

Answer to Question 2

ANS: D
Trichotillomania, self-induced hair loss, is usually due to habit. It forms irregularly shaped patches with broken-off, stublike hairs of varying lengths. A person is never completely bald. It occurs as a child absentmindedly rubs or twirls the area while falling asleep, reading, or watching television.

[rachel9]

Thank you

[HandsomeMarc]

Happy to help you