ATI Medical Surgical Nursing, Assessment of the Skin, Hair, and Nails

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ATI Medical Surgical Nursing, Assessment of the Skin, Hair, and Nails 1. The nurse is planning care for an older client who has very thin skin on the backs of the hands and arms. What is the client�... �s priority problem? a. Risk for injury b. Infection c. Poor self-image d. Discomfort ANS: A Thinning skin, with decreased attachment between the dermis and the epidermis, is at increased risk for injury in response to even minimal trauma or shearing events. If injury occurred, infection would be a possible problem. Thin skin should not cause discomfort. Poor self-image does not take priority over the risk for injury. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Health Promotion and Maintenance (Aging Process) MSC: Integrated Process: Nursing Process (Planning) [Show More]

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