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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cultural blindness involves ignoring cultural differences and treating everyone the same, rather than ridiculing beliefs.
B. Cultural imposition is when someone imposes their own cultural values on others, not necessarily mocking them.
C. Culture conflict occurs when there is an expressed disdain or ridicule for different cultural beliefs and values, often resulting in defensive or hostile behavior, as seen in the coworker's reaction.
D. Culture shock refers to feelings of disorientation when encountering a new culture, not active ridicule or condescension.
Correct Answer is A
Explanation
A. Scrambled eggs with cheese are rich sources of protein, important for wound healing.
B. Cereal and milk contain some protein but generally less than eggs and cheese.
C. Pasta with Alfredo sauce is higher in carbohydrates and fats, with moderate protein.
D. Toasted bran muffin and jelly are mostly carbohydrates with minimal protein.
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