An older person is admitted to the hospital with an exacerbation of congestive heart failure. The nurse notes that the patient complains of severe itching at night and has a red rash on her torso. The patient is diagnosed with scabies. The patient asks the nurse, "How did I get something like this?" The best response by the nurse is:
Scabies is only seen in older adults who have multiple chronic illnesses
Scabies is highly contagious and spreads easily through physical contact
Certain medications can make you more susceptible to contracting scabies
Scabies is commonly seen in older adults due to normal age-related changes in the skin
The Correct Answer is B
A. While scabies can occur in individuals with chronic illnesses, it is not limited to this population and can affect people of all ages.
B. Scabies is highly contagious and spreads through close physical contact, such as skin-to-skin contact or sharing bedding and clothing, making this the best and most accurate response.
C. There is no direct link between medications and increased susceptibility to scabies, although immunosuppression may play a role in severe cases.
D. Age-related skin changes do not directly cause scabies; the condition is due to infestation with the Sarcoptes scabiei mite.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Poor lightingis an extrinsic(environmental) factor that increases fall risk by making it difficult to see obstacles.
B. Height of bedis also an extrinsicfactor, as it relates to the physical environment and equipment setup.
C. Reduced visionis an intrinsicfactor because it is related to the individual's physical condition and internal health status.
D. Lack of support equipment for bathtubs and toiletsis an extrinsicfactor tied to environmental setup and safety aids.
Correct Answer is B
Explanation
A. While better than no activity, three times a weekdoes not meet the general guideline for optimal health benefits.
B. The recommended guideline for adults is at least 150 minutes of moderate-intensity aerobic activity per week, which equals 30 minutes on 5 days.
C. Two days a weekis insufficient to meet the weekly 150-minute recommendation.
D. While beneficial, 60 minutes dailyexceeds the minimum requirement and is not necessary for most individuals to achieve health benefits.
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