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A 76-year-old woman brings her 95-year-old mother into the ambulatory clinic. The mother is deaf and motions for her daughter to talk for her. The daughter gives an account of the mother’s health condition. While the health history of the mother is being given, the nurse notices several skin lesions on the daughter’s lower arms. The daughter is overweight, seems out of breath, and is perspiring heavily although the room temperature is 76F. What actions would you suggest the nurse take with the daughter? If an action is taken, when is the appropriate time to do so?

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