A Newly Admitted 86-Year-Old Patient Has Scratch Marks in the Groin

question 31

Multiple Choice

A newly admitted 86-year-old patient has scratch marks in the groin and axilla and on her limbs.There are small,punctate red lesions that the patient says itch "like crazy." Which is the most likely cause and the best nursing action?

• A)Senile purpura, and employs skin tear precautions
• B)Scabies, and employs Standard Precautions
• C)Senile itch, and employs use of emollient
• D)Allergy, and employs focused assessment for cause

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Definitions:

Team-Centered Feelings

Emotions and sentiments that arise from belonging to a team, influencing motivation, cooperation, and group dynamics.

Social Interactions

The process by which individuals act and react in relation to others.

Norms

Unwritten rules that are socially enforced, guiding individual behavior within a group or society to ensure predictability and conformity.

Organizational Rules

Established guidelines and protocols within an organization that dictate the behavior, actions, and decisions of its members.