Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?

Correct Answer: C

Rationale: The correct answer is C, petechiae on the chest and abdomen. Petechiae are small pinpoint hemorrhages that can indicate a serious underlying medical condition such as thrombocytopenia or a bleeding disorder. It is important to discuss this immediately with the healthcare provider to determine the cause and initiate appropriate treatment. A: Dry, scaly patches on the face are likely related to skin issues and can be addressed during a routine dermatology visit. B: Numerous varicosities on both legs are common in older individuals and usually do not require urgent attention unless causing pain or other complications. D: Small dilated blood vessels on the face are typically cosmetic concerns and not urgent unless they are causing discomfort or affecting vision.

Correct Answer: D

Rationale: The correct answer is D: Teach the use of cold packs to reduce bruising and swelling. Cold packs can help reduce inflammation, bruising, and swelling after a surgical procedure like Mohs surgery. This promotes healing and comfort for the patient. A: Scheduling daily appointments for dressing changes is not necessary for a post-Mohs procedure care plan as the dressing changes are typically done less frequently. B: Describing the use of topical fluorouracil is not relevant in the postoperative care of a patient who had a Mohs procedure as it is used for treating precancerous skin lesions, not for postoperative wound care. C: Teaching sterile technique to clean the suture line is important, but it is not the immediate priority in the postoperative care of a patient who had a Mohs procedure.

Correct Answer: A

Rationale: The correct answer is A: a fluid-filled sac found at some joints. Bursitis is an inflammation of the bursa, which is a fluid-filled sac located near joints that helps reduce friction between bones, tendons, and muscles. The bursa can become inflamed due to overuse, trauma, or infection, leading to pain and swelling. Choices B, C, and D are incorrect because bursitis specifically involves the bursa, not the synovial membrane, connective tissue, or fibrocartilage within the joint. It is essential for the nurse to accurately explain the condition to the patient to ensure understanding and proper management.

Correct Answer: A

Rationale: The correct answer is A because having a pacemaker can pose a significant risk during an MRI due to potential interference with the device's function. Pacemakers can malfunction or heat up during the MRI procedure, leading to serious complications. Consulting with the healthcare provider is crucial to determine if special precautions or alternative imaging methods are needed. Choices B, C, and D are incorrect because: B: Claustrophobia can be managed with medication or relaxation techniques, and open MRI machines are available for claustrophobic patients. C: Hearing aids are generally safe during an MRI, and can be removed before the procedure if necessary. D: Allergies to shellfish do not pose a direct risk during an MRI unless contrast dye containing shellfish is used, in which case alternative contrast agents can be used.

Correct Answer: B

Rationale: The correct answer is B: "You will begin work with a physical therapist tomorrow." This is the correct answer because early physical therapy is crucial for restoring range of motion and strength after rotator cuff surgery. The therapist will guide the patient in exercises to prevent stiffness and promote healing. Choice A is incorrect as it is overly pessimistic and does not reflect the potential for recovery with proper rehabilitation. Choice C is incorrect because immobilizing the shoulder for too long can lead to stiffness and reduced range of motion. Choice D is incorrect as the drop-arm test is used to assess rotator cuff tears before surgery, not to determine the success of surgery.