A nurse is caring for an older adult client who reports dry, itchy skin. Which of the following actions should the nurse take?
Encourage the client to bathe frequently.
Apply powder to the client's skin.
Add moisturizing oil to the client's bath water.
Place a humidifier in the client's room.
The Correct Answer is D
Dry, itchy skin is a common concern in older adults, especially during the winter months or in dry environments. Increasing the humidity in the client's environment can help alleviate dryness and itching. Placing a humidifier in the client's room will add moisture to the air and help prevent excessive drying of the skin. It is important to ensure that the humidifier is clean and well-maintained to avoid the growth of bacteria or mould.
Encouraging the client to bathe frequently may further dry out the skin, so it is not recommended. Similarly, applying powder to the skin may exacerbate dryness and should be avoided. Adding moisturizing oil to the bath water may provide temporary relief, but a humidifier will have a more consistent and long-lasting effect on the client's environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Muscle spasms of the left leg can be uncomfortable and may require interventions such as muscle relaxants or repositioning of the limb, but they do not pose an immediate threat to the client's limb or life.
Choice B Reason:
One fingerbreadth of space between the cast and the skin is an important measurement to ensure that the cast is not too tight, but it does not represent an immediate threat to the client's circulation.
Choice C Reason:
Diminished pulses on the affected extremity. Diminished pulses on the affected extremity, in this case, the left leg with the long leg cast, is the most critical finding that requires immediate attention. It could indicate compromised blood flow, which is a medical emergency. Compromised blood flow can lead to tissue ischemia and necrosis if not promptly addressed.
Choice D Reason:
Ecchymosis (bruising) on the inner left thigh is concerning but may be related to the cast application or other factors. While it should be assessed and monitored, it is not as urgent as diminished pulses.
Correct Answer is B
Explanation
Choice A Reason:
"I should do aerobic exercises once per day." While exercise is important for individuals with COPD, the frequency and intensity of exercise should be determined based on the individual's condition and healthcare provider's recommendations. One-size-fits-all recommendations may not apply to all clients.
Choice B Reason:
"I should practice pursed-lip breathing exercises." Pursed-lip breathing exercises are a beneficial technique for individuals with COPD. This technique can help improve breathing efficiency and decrease shortness of breath. Clients with COPD are often taught to use pursed-lip breathing during activities that require increased effort or when experiencing shortness of breath.
Choice C Reason:
"I will increase my fluid intake to 1,700 milliliters per day." While staying adequately hydrated is essential, the specific fluid intake should be determined based on the client's needs, medical condition, and healthcare provider's advice. The recommended daily fluid intake can vary among individuals.
Choice D Reason:
"I will consume low-protein, low-calorie foods." Nutrition is an important aspect of COPD management, but the dietary recommendations should be tailored to the client's specific needs, including their nutritional status, energy expenditure, and other factors. A generalized statement about low-protein, low-calorie foods may not be appropriate for all individuals with COPD.
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