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. Cluster of papular lesions with pruritus: While scabies causes pruritic lesions, it is more characterized by burrows or wavy lines, not clusters.
B. Wavy threadlike lines on the body and pruritus: Scabies is distinguished by the presence of burrows, which appear as wavy, threadlike lines on the skin, accompanied by intense itching.
C. Small fluid-filled blisters that sting when scratched: Fluid-filled blisters are more characteristic of herpes simplex or chickenpox, not scabies.
D. Dry scaly patches in body creases that itch: This description is more typical of eczema or psoriasis, rather than scabies.

A. Anger B. Fear C. Isolation D. Suicidal ideation

Correct Answer is D

Explanation

A. Very disruptive to a person in society: This description is judgmental and not specific to documenting behavior objectively.

B. Differing from socially acceptable behavior: Documenting behavior as differing from socially acceptable norms provides an objective, non-judgmental account of the patient’s behavior.

C. Causing the person to be involved in problems: This focuses on the outcomes of the behavior rather than describing the behavior itself.

D. Resulting from an inability to exercise control: This may imply a lack of control but does not objectively describe the behavior for documentation purposes.

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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

The school nurse recognizes the signs of scabies when a child displays which symptom?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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