The home health nurse is caring for an older adult client living alone at home who is incontinent of urine and changes the adult diaper (pad) daily. The nurse plans care based on which nursing concern?
altered skin integrity risk
risk
activity intolerance risk
falls risk
The Correct Answer is A
A. Incontinence and infrequent changing of adult diapers increase the risk of altered skin integrity, such as skin breakdown or pressure ulcers, due to prolonged exposure to moisture and irritation.
B. The Answer seems incomplete ("risk") and does not specify the type of risk.
C. Activity intolerance is not directly related to incontinence or diaper use.
D. While falls risk is important in older adults, it is not the primary concern related to incontinence and diaper changing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Private law deals with disputes between private individuals or organizations, such as contracts or family law.
B. Public law governs relationships between individuals and the government but is a broader category that includes criminal law.
C. Civil law involves noncriminal disputes, such as negligence or malpractice cases.
D. Criminal law involves offenses against society or the state, such as possession of illegal drugs, and can lead to prosecution, penalties, or imprisonment.
Correct Answer is B
Explanation
A. While some enteric-coated capsules should not be opened, this Answer is too limited and not as universally applicable as option B.
B. Enteric-coated drugs should not be chewed or crushed because the coating is designed to protect the drug from stomach acid and to ensure it is absorbed in the intestines. Chewing or crushing it would destroy this protective barrier.
C. Not all enteric-coated medications are available in liquid form, so this is not a reliable or general instruction for clients.
D. Cutting enteric-coated drugs into smaller pieces would compromise the coating, just like crushing or chewing, and should be avoided.
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