A nurse is caring for an older adult client who is at risk for skin breakdown. The nurse should use which of the following interventions to help maintain the integrity of the client's skin?

Reposition the client every 3 hours.

Apply cornstarch to keep the skin dry.

Provide the client with a diet high in protein.

Massage bony prominences to promote circulation.

Answer and Explanation

The Correct Answer is C

A diet high in protein can help maintain skin integrity in older adults. Protein is essential for tissue repair and wound healing. The other options may not be as effective in maintaining skin integrity. For example, repositioning the client every 3 hours may not be frequent enough to prevent pressure ulcers. Applying cornstarch to keep the skin dry may not be the best option as it is important to keep the skin moisturized. Massaging bony prominences to promote circulation may not be recommended as it could cause damage to fragile skin.

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Correct Answer is D

Explanation

The group of nurses is using the phenomenology qualitative research tradition. Phenomenology is a qualitative research approach that focuses on understanding the essence of an experience from the perspective of those who have lived it ¹. In this case, the nurses are researching how care providers of Stage l/m Alzheimer's clients use prior coping skills in dealing with their current situation. This approach allows for a deeper understanding of the experiences and perspectives of the care providers.

A. Risk for Injury B. Altered Tissue Perfusion C. Impaired Tissue Integrity D. Impaired Skin Integrity

Correct Answer is D

Explanation

A stage II pressure ulcer is a wound that involves partial-thickness loss of skin. The most appropriate NANDA nursing diagnosis problem statement for a client with this condition would be Impaired Skin Integrity. This diagnosis reﬂects the fact that the client's skin has been damaged and is no longer intact. Risk for Injury, Altered Tissue Perfusion, and Impaired Tissue Integrity are also NANDA nursing diagnoses, but they are not as specific or relevant to the client's condition as Impaired Skin Integrity.

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A nurse is caring for an older adult client who is at risk for skin breakdown. The nurse should use which of the following interventions to help maintain the integrity of the client's skin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nurses is researching how care providers of Stage l/m Alzheimer's clients use prior coping skills in dealing with their current situation. Which qualitative research tradition are these nurses using?

Correct Answer is D

Explanation

The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?

Correct Answer is D

Explanation

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