[Answered]: Case Study, Skin, Hair, and Nails Assessment Mr

Case Study, Skin, Hair, and Nails Assessment Mr. Ryan Old, a 68-year-old semiretired electrician, comes to the clinic for his annual physical examination. He reports that he has some “sores” on his right leg that have been there for about 2 months and did not heal. The nurse practitioner begins the physical assessment and documents the following data regarding Mr. Ryan’s skin, hair, and nails: Hair distribution: Balding at the crown of the scalp and receding hairline. Hair is thin, coarse, and gray. Scalp: Scaling and yellow patches intermittently dispersed on the scalp Mucous membranes: Lips and mouth are dry and pale pink. Nails: Brittle and thin; right index finger nail is yellow and thick. Chest/abdomen: Barreling of the chest and rounding of the abdominal area Chest hair: Thinning and gray Extremities: Medial right leg and ankle reddened and edematous with several scattered small weeping areas. No hair growth in this area, and skin is ruddy. Left leg and ankle are normal in size. Skin is pale pink. Capillary refill is less than 2 seconds; skin tag on upper left thigh. Even hair distribution; skin is warm to touch. Arms are normal in size, hair distribution, and temperature. What data represent abnormal findings based on the information available about the patient? What questions should the nurse ask this patient regarding his past medical history?