Difficulty: Medium
Average Score: 70%
Simulated
A nurse is collecting data from an older adult client who comes to the clinic with dry, flaky skin on her upper back. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A. Dry, flaky skin is a common finding in older adults due to decreased oil gland activity. The nurse should note this as an expected finding because it is often a normal part of aging and not necessarily indicative of a health concern. Option B is unnecessary as the nurse can inspect the back during the general skin assessment. Option C, checking skin turgor, is not relevant to dry, flaky skin. Option D, using a penlight for detailed examination, is excessive for this situation.