Correct Show A hernia is a complication of abdominal surgery. The other complications of abdominal surgery include intestinal obstruction and altered bowel function. Prostatectomy has complications of urinary incontinence, sexual dysfunction, and poor body image. Complications of lung resection or lobectomy of the lung include difficulty breathing, fatigue, and generalized weakness. Surgery involving the brain or spinal cord such as removal of meningioma has a risk of impaired cognitive function, motor sensory alterations, altered vision, as well as swallowing, language, bowel, and bladder control issues. Correct The dorsal recumbent position helps facilitates examination of the head and neck, anterior thorax and lungs, breasts, axillae, heart, and abdomen. In this position, the patient is made to lie in a supine position with the knees flexed, which may be difficult for a patient with knee pain. The supine position is a relaxed position that is suitable for the examination of the anterior thorax and lungs, breasts, axillae, heart, and abdomen. This position may help reduce discomfort for a patient with knee pain. Fowler's position is not suitable for abdominal assessment but this position is the most relaxed position. A patient with knee pain may find this position less challenging than others. Lithotomy position is suitable for the assessment of the genital organs, but is not appropriate for an abdominal assessment. Which normal age-related changes of the integumentary system cause wrinkles; sagging breasts; tenting of the skin; gray hair; and thick, brittle toenails? Decreased activity of apocrine and sebaceous glands, decreased density of hair, and increased keratin in nails Decreased extracellular water, surface lipids, and sebaceous gland activity; decreased scalp oil; and decreased circulation Muscle laxity, degeneration of elastic fibers, collagen stiffening, decreased melanin, and decreased peripheral blood supply Increased capillary fragility and permeability, cumulative androgen effect and decreasing estrogen levels, and decreased circulation Dermis Keep the room door closed To prepare for the skin, hair, and nail examination, ask the client to remove all clothing and jewelry and put on an examination gown. In addition, ask the client to remove nail enamel, artificial nails, wigs, toupees, or hairpieces as appropriate. The client may remain in a sitting position for most of the examination. If available, sunlight is best for inspecting the skin. Wear gloves when palpating any lesions because you may be exposed to drainage. Keep the room door closed or the bed curtain drawn to provide privacy as necessary. Sets with similar termsD. Cold, dry, pale skin; dry, coarse hair; brittle, slow-growing nails With hypothyroidism the patient will manifest with cold, dry, pale skin; dry, coarse, brittle hair; and brittle, slow-growing nails. With hyperthyroidism the patient will have warm, flushed skin; alopecia with fine soft hair; and thin nails. With Addison's disease the patient will have loss of body hair and generalized hyperpigmentation, especially in folds. With anemia, the patient will display pallor, pale mucous membranes, hair loss, and nail dystrophy. When assessing a 73-year-old female patient, the nurse found wrinkles, sagging breasts, and tenting of the skin; gray hair; and thick brittle toenails. What normal changes of aging does the nurse know occur that can cause these changes in the integumentary system? A. Decreased activity of apocrine and sebaceous glands, decreased density of hair, and
increased keratin in nails C. Muscle laxity, degeneration of elastic fibers, collagen stiffening, decreased melanin, and decreased peripheral blood supply The normal changes of aging include muscle laxity, degeneration of elastic fibers, and collagen stiffening that contribute to the wrinkles, sagging breasts, and tenting of the skin. Decreased melanin and melanocytes in the hair lead to gray hair, and decreased peripheral blood supply leads to thick brittle nails with diminished growth. Decreased apocrine and sebaceous glands would lead to dry skin with minimal to no perspiration and uneven skin color. Decreased density of hair leads to thinning and loss of hair. Increased keratin in nails leads to longitudinal ridging of the nails. The decreased extracellular water, surface lipids, and sebaceous gland activity lead to dry flaking skin. Decreased scalp oil leads to dry coarse hair and a scaly scalp, and decreased circulation leads to prolonged return of blood to nails on blanching. Increased capillary fragility and permeability in aging leads to bruising. A cumulative androgen effect and decreased estrogen levels lead to facial hirsutism in women and baldness in men. Decreased circulation leads to prolonged return of blood to nails on blanching. Where should the nurse assess a darkIn dark-skinned people, cyanosis may be easier to see in the mucous membranes (lips, gums, around the eyes) and nails.
Which assessment finding would indicate cyanosis in individuals with dark skin?In light-skinned patients, cyanosis presents as a dark bluish tint to the skin and mucous membranes (which reflects the bluish tint of unoxygenated hemoglobin). But in dark-skinned patients, cyanosis may present as gray or whitish (not bluish) skin around the mouth, and the conjunctivae may appear gray or bluish.
When assessing a darkCyanosis would be best noted in the palms of the hands and soles of the feet. The nurse is monitoring a wound in a dark-skinned client for signs of erythema. How should the nurse best determine the presence of erythema? 1.
Which body area will the nurse inspect to assess for jaundice in a patient with dark skin?Jaundice produces a yellow-orange discoloration of body tissues. Which body part is the best site for the nurse to inspect for jaundice? The best site to inspect for signs and symptoms of jaundice is the sclera, or the mucous membranes.
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What area of the body would the nurse assess for cyanosis in a patient with dark skin quizlet?
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