A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults, such as thinning skin. How should these students best integrate these changes into care planning?
By avoiding the use of ice packs to treat muscle pain
By protecting older adults against excessive sweat accumulation
By protecting older adults against shearing injuries
By avoiding the use of lotion on older adults' skin
The Correct Answer is C
A. Avoiding the use of ice packs to treat muscle pain - While ice packs can cause skin damage in older adults with thinning skin, it is not the most appropriate response to the question. Protecting against shearing injuries is a more direct and specific concern related to thinning skin.
B. Protecting older adults against excessive sweat accumulation - Excessive sweat accumulation can lead to skin irritation, but this option does not directly address the issue of thinning skin as the primary concern in the question.
C. By protecting older adults against shearing injuries
Thinning skin in older adults makes them more vulnerable to skin injuries, especially shearing injuries. Shearing occurs when the skin is pulled in one direction while the underlying bone and tissues are pulled in the opposite direction. This can lead to skin tears and other wounds, which can be painful and slow to heal in older adults. Nurses should take special precautions to prevent shearing injuries, such as using lift sheets or sliding devices when moving patients, and ensuring that patients are repositioned frequently to reduce friction and shearing forces.
D. Avoiding the use of lotion on older adults' skin - Proper moisturization of the skin is important, especially in older adults, to prevent dryness and skin breakdown. Avoiding lotion is not a recommended practice; instead, choosing appropriate, non-irritating lotions can help maintain skin integrity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Broccoli with cheese
Broccoli is a good source of calcium and is also low in lactose, making it suitable for lactose-intolerant individuals. Advising the client to consume broccoli with cheese provides a calcium-rich option without relying on dairy products. Cheese can contribute additional calcium to the diet, and for many lactose-intolerant individuals, small amounts of cheese can be well-tolerated.
B. Glazed carrots - Carrots are not a substantial source of calcium.
C. Grilled cabbage - While cabbage is a healthy vegetable, it does not contain a significant amount of calcium compared to other sources.
D. Fried potatoes - Potatoes do not contain a significant amount of calcium and are not a suitable choice for increasing calcium levels.Explanation:
Correct Answer is A
Explanation
A. Urine culture and sensitivity
Explanation: A urine culture and sensitivity test involves growing bacteria from a urine sample in a laboratory setting. Once the bacteria have grown, they are exposed to different antibiotics to see which one is most effective in inhibiting their growth. This helps healthcare providers identify the specific strain of bacteria causing the infection and choose the most appropriate antibiotic treatment.
B. Serum creatinine level
Explanation: Serum creatinine level is a blood test used to measure kidney function. It evaluates how well the kidneys are filtering waste from the blood. While important for assessing kidney health, it does not determine the specific bacteria causing a urinary tract infection or the appropriate antibiotic treatment.
C. Urinalysis
Explanation: Urinalysis is a broad screening test that assesses various components in the urine, such as red and white blood cells, protein, glucose, and bacteria. While it can detect signs of a urinary tract infection (such as the presence of bacteria and white blood cells), it does not identify the specific bacterial strain causing the infection or provide information about antibiotic sensitivity.
D. Kidney scan
Explanation: A kidney scan, also known as a renal scan, is a medical imaging technique used to assess the structure and function of the kidneys. It can help diagnose conditions like kidney stones, urinary obstruction, or kidney infections. However, it does not determine the strain of bacteria causing a urinary tract infection or guide antibiotic treatment.
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