1. A nurse is performing a skin assessment on a client. which of the following findings should the nurse report to the provider?a. skin tags on the neckb. yellow discoloration of the palmsc. brown birthmark on the thigh2. A nurse is inspecting the finger nails of an older adult client. Which of the following findings should the nurse report to the provider?a. yellowed nail colorb. white horizontal linesc. spongy nail based. capillary refill 2 secondsd. absent tenting of the skin



Answer :

The nurse should inform the provider of the patient’s palms which are yellow and the nurse’s discovery of spongy nail bases.

Jaundice, or yellow coloring of the skin, needs to be reported to the provider. A high level of bilirubin, a byproduct of the destruction of red blood cells, is what causes it. Patients with blood or liver problems may have jaundice. Those with light skin tones can see jaundice all over their bodies, while clients with deeper skin tones can see it on their palms and soles. The hard palate and sclera of all patients exhibit color shifts.

The nail’s base should feel solid to the touch. Spongy nail bases are related to nail clubbing, which is a symptom of persistent hypoxia. This finding should be communicated to the provider by the nurse.

Therefore, choices B and C are each the appropriate response.

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