Questions and Correct Detailed Answers
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Skin assessment - lesions - CORRECT ANSWER-Primary lesions - direct result of
a disease process
Secondary lesions - evolve from primary or develop as a consequence of a
patient's activity
Skin assessment - Color - CORRECT ANSWER-- is affected by blood flow, gas
exchange, body temperature, and pigmentation. describe by their appearance.
Are changes general or confined to one body region
Skin assessment - ABCDE - CORRECT ANSWER-A - Asymmetry
B- border irregularity
C- color variation within one lesion
D- Diameter greater than 6 mm
E - Evolving or changing in any feature (shape, size, color, elevation, itching,
bleeding, or crusting)
,Changes in Dark skin - cyanosis - CORRECT ANSWER-- examine lips and tongue
for gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
Changes in Dark skin - Inflammation - CORRECT ANSWER-- Compare effective
area with non affected area for increased warmth
-examine skin of affected area to determine whether it is shiny or taut or pits with
pressure
- Compare the skin color of affected area with the same area on the opposite side
of the body
- palpate the affected area and compare it with unaffected area to determine
whether texture is different (affected area may feel hard or "woody"
Changes in Dark skin - Jaundice - CORRECT ANSWER-- Check for yellow tinge to
oral mucous membranes, especially the hard palate
- examine the sclera nearest to the iris rather than the corners of the eye
,Changes in Dark skin - Bleeding - CORRECT ANSWER-- Compare the affected
area with the same area on the unaffected body side for swelling or skin
darkening
- if the patient has thrombocytopenia, petechiae may be present on the oral
mucosa or conjunctiva
Four Major subgroups of Late Adulthood - CORRECT ANSWER-65 - 74 young
old
75 - 84 middle old
85 - 99 old old
100 and older elite old
Lifestyle and Practice to Promote Wellness older adults - CORRECT ANSWER-
Yearly flu vaccine
pneumococcal vaccine
Shingles vaccine
tetanus and booster every 10 years
wear seat belts
alcohol in moderation
avoid smoking
, smoke detectors
prevent falls - waxed floors and scattered rugs
medications as prescribed
avoid OTC medications unless primary care phyisican directs
Yearly physicial
regular exercise
socialization
reminisce
Common health Issues and Concerns older adults - CORRECT ANSWER-
Decreased nutrition and hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
Mental health/cognition problems (including substance abuse)
Elder neglect and abuse
GFTT ( Geriatric Failure To Thrive) Complex Syndrome - CORRECT ANSWER-
Under nutrition