Because of the skin changes in the older adult client, what interventions should the nurse ensure in their care? (SELECT ALL THAT APPLY)

A. Vitamin D is often referred to as the "sunshine vitamin" because the body produces it in response to sunlight exposure on the skin. Spending more time indoors reduces sunlight exposure, which can lead to insufficient production of vitamin D in the body. Vitamin D is important for bone health, immune function, and other physiological processes.

B. Vitamin E deficiency is rare in healthy individuals with a balanced diet. It is primarily found in foods such as nuts, seeds, and vegetable oils. Deficiency can occur in conditions where fat absorption is impaired or in certain genetic disorders.

C. There are several B vitamins (e.g., B1, B2, B6, B12) that are essential for various metabolic processes in the body. Deficiencies in specific B vitamins can occur due to inadequate dietary intake, malabsorption

disorders, or other medical conditions. However, preference for indoor activities does not directly correlate with increased risk of vitamin B deficiency.

D. Vitamin A deficiency is more commonly associated with inadequate intake of foods rich in vitamin A (e.g., liver, carrots, sweet potatoes) rather than sunlight exposure. Vitamin A is important for vision, immune function, and cellular growth.

B. Physician and nurse practitioner orders specify the medical treatments, medications, and interventions prescribed for the client. These orders are essential for guiding care at the subacute care facility and are a critical part of the legal health record.

C. A living will, also known as an advance directive, outlines the client's preferences for medical treatment and care in the event they are unable to communicate their wishes. It is a legal document that guides decision-making regarding end-of-life care.

D. Vital sign flow records document the client's vital signs over time, including measurements such as blood pressure, heart rate, respiratory rate, and temperature. These records are essential for monitoring the client's health status and detecting trends or changes.

F. Nurses' assessments document the nursing observations, assessments, and interventions provided to the client. These assessments are crucial for ongoing nursing care and should be included in the legal health record.

A. Event or unusual occurrence reports document any incidents or deviations from the standard of care that occur during the client's hospitalization. These reports are important for quality improvement and risk management but are typically not included in the legal health record unless they directly impact the client's care.

E. Proof of residence or property ownership documents are not typically included in the legal health record. These documents are unrelated to the client's medical care and are considered personal or administrative records.