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Exhibits

The nurse reviews the client's data.

Which factor(s) place the client at greatest risk for skin injuries? Select all that apply.

Immobility

Obesity

Inadequate nutritional intake

Incontinence

Decreased sensory perception

Coarse lung sounds

Diabetes mellitus

Answer and Explanation

Correct Answer : A,B,C,D,E,G

A. Immobility. The client requires a walker for mobility and reports difficulty repositioning in bed. Limited mobility increases the risk of pressure injuries due to prolonged pressure on certain areas, reducing blood flow and oxygen delivery to the skin.
B. Obesity. The client has a history of moderate obesity, which increases skin friction, moisture retention, and difficulty with self-care. Excess weight places additional pressure on bony prominences, elevating the risk of pressure ulcers.
C. Inadequate nutritional intake. The client has a poor appetite and decreased oral intake, which can lead to protein and nutrient deficiencies. Poor nutrition impairs skin integrity and delays wound healing, further increasing the risk of pressure injuries.
D. Incontinence. The client wears an incontinence brief due to occasional urinary and fecal accidents. Constant exposure to moisture from urine and stool can break down the skin barrier, making it more susceptible to infections and pressure injuries.
E. Decreased sensory perception. The client reports neuropathy in both hands and lower legs, reducing sensation. Impaired sensation can prevent the recognition of pressure, pain, or injury, leading to delayed intervention and increased risk of skin breakdown.
F. Coarse lung sounds. While coarse lung sounds may indicate respiratory congestion or infection, they do not directly contribute to skin injury risk. This factor is less relevant compared to others affecting skin integrity.
G. Diabetes mellitus. The client has poorly controlled type 1 diabetes, which impairs circulation and delays wound healing. Chronic hyperglycemia can lead to reduced immune response and increased susceptibility to infections and pressure ulcers.

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Correct Answer is C

Explanation

A. Obtain at least 8 to 10 hours of sleep per night. Adequate sleep is important for overall health, but it is not a primary recommendation for cancer prevention. There is some evidence linking sleep disturbances to cancer risk, but maintaining a healthy weight and exercising have stronger associations with cancer prevention.
B. Refrain from alcohol. Limiting alcohol intake is recommended, but complete abstinence is not necessary for everyone. Moderate alcohol consumption is associated with an increased risk of certain cancers (e.g., breast, liver, esophageal), but maintaining a healthy weight and exercising have broader, more significant cancer prevention benefits.
C. Maintain a healthy weight and exercise regularly. Obesity and a sedentary lifestyle are major risk factors for multiple types of cancer, including breast, colon, and endometrial cancer. Regular physical activity reduces inflammation, improves immune function, and regulates hormones, all of which lower cancer risk.
D. Know the four warning signs of cancer. While recognizing cancer warning signs is important for early detection, prevention strategies are more effective in reducing overall cancer risk. There is no universally agreed-upon list of "four" warning signs, as different cancers present with different symptoms.

A. Dedicated breastfeeding for 6 months. B. Consumption of whole milk as a toddler. C. Introduction of fortified cereal before 4 months of age. D. Exclusive soy based formula for the first year of life.

Correct Answer is C

Explanation

A. Dedicated breastfeeding for 6 months. Exclusive breastfeeding for at least 6 months is recommended by the American Academy of Pediatrics (AAP) and is associated with a lower risk of childhood obesity. Breastfeeding helps regulate appetite and metabolism.
B. Consumption of whole milk as a toddler. Whole milk is recommended from ages 1 to 2 years for brain development and growth. While excessive milk intake may contribute to weight gain, it is not a primary risk factor for early childhood obesity.
C. Introduction of fortified cereal before 4 months of age. Introducing solid foods before 4 months is linked to an increased risk of childhood obesity. Early introduction may disrupt natural hunger and satiety cues, leading to overeating later in life. The AAP recommends introducing solid foods around 6 months of age.
D. Exclusive soy-based formula for the first year of life. Soy-based formula is nutritionally comparable to cow's milk-based formula. While formula feeding in general has been associated with a slightly higher risk of obesity than breastfeeding, soy formula itself is not a direct risk factor for obesity.

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Exhibits The nurse reviews the client's data. Which factor(s) place the client at greatest risk for skin injuries? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is developing a workshop on cancer prevention for a group of adults at a wellness fair. Which recommendation should the nurse include in the workshop?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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Exhibits

The nurse reviews the client's data.

Which factor(s) place the client at greatest risk for skin injuries? Select all that apply.