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 C

Explanation

Public health agencies are responsible for protecting and improving the health of communities. They are often funded by government grants and work to prevent the spread of communicable diseases through measures such as vaccination programs, disease surveillance, and public education campaigns. Surgery can be performed in a variety of healthcare settings, not just hospitals. Skilled nursing extended care facilities provide care for individuals who require ongoing medical support, not just older adults whose insurance no longer covers hospital stays. Hospitals provide a range of services, including acute inpatient care as well as outpatient and emergency services.

A. There is one best intervention for each goal/outcome. B. Actions should address the etiology of the nursing diagnosis. C. Interventions should be "doing" not just monitoring. D. Always select independent interventions when possible.

Correct Answer is B

Explanation

When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more eﬀective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as diﬀerent clients may have diﬀerent needs and respond diﬀerently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.

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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

Which of the following statements is true regarding types of health care agencies?

Correct Answer is C

Explanation

Which of the following principles does the nurse use in selecting interventions for the care plan?

Correct Answer is B

Explanation

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