Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?

Each evening

Once every shift

Every 4 hours

Every 2 hours

Answer and Explanation

The Correct Answer is D

A. Each evening: Turning the patient only once per day is insufficient to prevent pressure injuries.
B. Once every shift: This is also inadequate as it does not provide the frequent repositioning necessary to prevent pressure injuries.
C. Every 4 hours: While better than every shift, every 4 hours may still not be frequent enough to prevent pressure injuries in at-risk patients.
D. Every 2 hours: Frequent repositioning, such as every 2 hours, is essential for pressure injury prevention in bedfast patients.

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Correct Answer is B

Explanation

A. Schizophrenia is a chronic mental health disorder not characterized by time-specific delirium.
B. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, often seen in patients with delirium or dementia.
C. Disordered thinking can be a symptom of many conditions but does not specifically describe time-related delirium.
D. Dementia is a chronic condition that can include sundowning but does not specifically describe this time-related agitation and confusion.

A. The drug is addictive. B. The drug causes flashbacks. C. The drug stimulates drug-seeking behavior. D. The drug sets off hypertensive episodes.

Correct Answer is B

Explanation

A. The drug is addictive. LSD is not typically considered addictive as it does not cause physical dependence.
B. The drug causes flashbacks. One of the greatest problems with LSD is the occurrence of flashbacks, where the person re-experiences aspects of the drug effects long after use.
C. The drug stimulates drug-seeking behavior. While this can be an issue, it is not the most significant problem with LSD use.
D. The drug sets off hypertensive episodes. Hypertension is not a common or primary issue with LSD use.

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Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium?

Correct Answer is B

Explanation

What is the greatest problem with lysergic acid diethylamide (LSD) use?

Correct Answer is B

Explanation

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?

When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid to reduce further drying of her skin?

What age of onset of alcohol consumption is most predictive of alcohol addiction?

Which areas are affected only minimally by age?

The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?

The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?

A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?

The older adult female patient is concerned about incontinence when she sneezes. What is the correct terminology for this type of incontinence?