A nurse is caring for an older client and educating the student nurse on assessing the skin.

The student nurse knows that an older client's skin is most likely to experience which of the following changes with aging?

Thickening of the epidermis.

Thinning of the epidermis.

Oiliness of the skin.

Increased elasticity of the skin.

Answer and Explanation

The Correct Answer is B

A.   Thickening of the epidermis: The epidermis tends to thin rather than thicken with aging.
Thinning of the epidermis can lead to increased vulnerability to injury and slower wound healing.
B.   Thinning of the epidermis: Thinning of the epidermis is a common age-related change in the skin. This thinning can result in a decreased barrier function, making the skin more susceptible to damage and infection.
C.   Oiliness of the skin: Older adults often experience a decrease in oil production, leading to drier skin rather than oilier skin.
D.   Increased elasticity of the skin: With aging, the skin tends to lose elasticity, resulting in sagging and wrinkles rather than increased elasticity.

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Correct Answer is A

Explanation

A. Place all clients who have manifestations on contact precautions: Given the suspicion of Clostridium difficile infection due to the development of watery diarrhea in multiple clients, it is appropriate to place these clients on contact precautions until the diagnosis is confirmed or ruled out. Contact precautions help prevent the spread of the infection by requiring healthcare workers to wear gloves and gowns when entering the room.
B. Obtain stool cultures from all clients on the nursing unit: While obtaining stool cultures may be necessary to confirm the diagnosis of C. difficile infection, implementing contact precautions is more immediate and necessary to prevent transmission.
C. Request the providers to initiate antibiotic therapy for every client on the unit: Initiating antibiotic therapy for every client on the unit without confirmation of C. difficile infection is not appropriate and may contribute to antibiotic resistance.

D. Perform hand hygiene with an alcohol-based agent: Hand hygiene is essential in preventing the spread of infection, but in the case of C. difficile, handwashing with soap and water is recommended over alcohol-based hand sanitizers due to the spore-forming nature of the bacteria.

A. Amoxicillin B. Vancomycin hydrochloride C. Fluconazole D. Abreva

Correct Answer is B

Explanation

A. Amoxicillin: Amoxicillin is a penicillin-type antibiotic effective against susceptible bacteria, but it is not effective against MRSA because MRSA is resistant to penicillin and related antibiotics.
B. Vancomycin hydrochloride: Vancomycin is a glycopeptide antibiotic commonly used to treat MRSA infections due to its effectiveness against MRSA strains. It is considered one of the first-line antibiotics for treating severe MRSA infections.
C. Fluconazole: Fluconazole is an antifungal medication used to treat fungal infections such as candidiasis. It is not effective against bacterial infections like MRSA.
D. Abreva: Abreva is an over-the-counter medication used to treat cold sores caused by the herpes simplex virus. It is not effective against bacterial infections like MRSA.

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A nurse is caring for an older client and educating the student nurse on assessing the skin. The student nurse knows that an older client's skin is most likely to experience which of the following changes with aging?

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Naxlex Comprehensive Predictor Exams

A nurse working on a medical-surgical unit suspects that several clients have Clostridium Difficile (C-Diff) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

Correct Answer is A

Explanation

The nurse is taking care of a patient diagnosed with Methicillin-Resistant Staphylococcus Aureus (MRSA). The nurse knows that this disease is difficult to treat and has a high mortality rate. Which medication would the nurse expect to be ordered to treat this infection?

Correct Answer is B

Explanation

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A nurse is caring for an older client and educating the student nurse on assessing the skin.

The student nurse knows that an older client's skin is most likely to experience which of the following changes with aging?