The nurse best displays an understanding of the role the skin ...

[sammy]

The nurse best displays an understanding of the role the skin plays in monitoring the body sys-tems and their ability to function properly when documenting which of the following regarding a 70-year-old client?
 
  1. Skin appears generally jaundiced.
  2. Dryness noted on heels and elbows bilaterally.
  3. Skin tears present on upper left and right arms.
  4. Skin on the hands and feet is slightly cool to the touch.

Question 2

Which of the following statements made by the nurse reflects the best understanding of the ef-fect of dry skin on a client's general health and well-being?
 
  1. When her skin is cracked, she is so much more uncomfortable.
  2. Keeping the skin moist is so much easier than making the skin moist.
  3. She is such a proud lady; dry, cracked skin makes her feel unattractive.
  4. If I can keep her skin moisturized, it will be less likely to crack and bleed.

[aidanmbrowne]

Answer to Question 1

ANS: 1
The skin often reflects a change in physical condition by alterations in color, thickness, texture, turgor, temperature, and hydration. The observation of the skin's jaundice appearance reflects possible liver pathology. While the remaining options are appropriately related to abnormal skin, they are of less importance and/or seen in the older adult.

Answer to Question 2

ANS: 4
Excessive dryness causes cracks and breaks in skin and mucosa that allow bacteria to enter, thus resulting in possible infection. While all of the options are correct, the answer reflects a better overall understanding of the effect of skin health on general client health.

[sammy]

TYSM

[nothere]

Excellent