The nurse knows that skin turgor changes with age. Which intervention is most helpful in dealing with normal aging changes of the skin?

Apply a lubricating lotion to the skin.

Pad all bony prominences.

Encourage a high protein diet.

Bathe with a mild soap daily.

Answer and Explanation

The Correct Answer is A

A. Applying a lubricating lotion helps to combat dryness and maintain skin moisture, which is particularly beneficial as skin turgor decreases with age. This is a direct way to address common skin issues in older adults.
B. Padding bony prominences helps to prevent pressure ulcers but does not address the issue of decreased skin turgor directly.
C. Encouraging a high-protein diet is beneficial for overall skin health and repair but is not specifically aimed at addressing the immediate changes in skin turgor due to aging.
D. Bathing with mild soap is gentle on the skin but does not specifically address the loss of skin turgor. Using a lotion or moisturizer directly addresses the dryness and potential discomfort associated with aging skin.

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Correct Answer is C

Explanation

A. Developing a plan for increasing activity and mobility is important but is not the immediate priority during the prodromal stage of an infection.
B. Discharge planning and teaching are relevant for patient management but not the priority during the early stages of infection.
C. Implementing precautions to prevent disease transmission is crucial during the prodromal stage, as this is when the infection may be most contagious. Preventing the spread of infection is the top priority.
D. Offering fluids and ice chips helps with comfort and hydration but does not address the prevention of disease transmission.

A. Include caregiver in discussion of pain relief strategies. B. Encourage the client to talk about her fear related to pain. C. Explain that analgesics will be given whenever needed. D. Provide therapeutic touch along with comfort and support.

Correct Answer is B

Explanation

A. Including the caregiver in discussions about pain relief strategies is important, but addressing the client’s immediate concerns and fears should come first.
B. Encouraging the client to talk about her fear related to pain allows the nurse to understand her specific concerns and provide personalized reassurance and support. Addressing the client’s emotional needs is crucial in hospice care.
C. Explaining that analgesics will be given as needed is important for reassurance but may not fully address the client’s fear or allow for an open discussion about her concerns.
D. Providing therapeutic touch and comfort is supportive but does not directly address the client’s fear. Engaging in a conversation about her specific fears allows for more targeted and effective reassurance.

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The nurse knows that skin turgor changes with age. Which intervention is most helpful in dealing with normal aging changes of the skin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the prodromal stage of an infection, which is the priority nursing intervention?

Correct Answer is C

Explanation

A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?

Correct Answer is B

Explanation

Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?

The nurse has removed a barbiturate capsule from the unit dose wrapper to administer to a client. The client decides to watch a television program and requests not to take the medication. Which action should the nurse implement?

While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. Which action should the nurse take in response to this finding?

The healthcare provider prescribes nasogastric tube (NGT) insertion for a client with a postoperative ileus. During insertion, the client begins to gag. Which action should the nurse take?

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

In-home hospice care is arranged for a client with stage 4 lung cancer. While the palliative care nurse is arranging for discharge, the client verbalizes concerns about pain. Which action should the nurse implement?

A small, round raised area appears under the client's skin as the nurse administers an intradermal medication. Which action should the nurse take?