What is the best nursing action when assisting an older patient to relieve the discomfort of pruritus related to dry skin?
Encourage the patient to talk to the primary care physician about the problem.
Establishing a medication regimen to control the discomfort.
Encourage the patient to take a tepid bath and use moisturizers
Teach the patient that pruritus is an expected consequence of aging.
The Correct Answer is C
A. Encourage the patient to talk to the primary care physician about the problem
While involving the PCP is helpful, the nurse can provide direct, effective care and education first.
B. Establishing a medication regimen to control the discomfort
Medication may be necessary in severe cases, but non-pharmacologic measures like moisturizing are safer and often more effective initially.
C. Encourage the patient to take a tepid bath and use moisturizers
Tepid baths prevent skin dryness, and applying moisturizers helps restore the skin barrier, relieving pruritus.
D. Teach the patient that pruritus is an expected consequence of aging
While more common with aging, pruritus should not be dismissed; it is treatable and can significantly affect quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Slower gastric emptying of fluid
This affects digestion, not necessarily bowel motility or stool formation. It is not the primary factor in constipation.
B. Decreased hydrochloric acid
This may impair digestion but is not directly responsible for constipation.
C. Abdominal bloating
Bloating is more of a symptom than a cause. It may occur after constipation develops.
D. Lack of dietary fiber
Older adults often consume less fiber, which is crucial for stool bulk and regular bowel movements. Low fiber intake is a leading contributor to constipation.
Correct Answer is C
Explanation
A. Cholesterol check
Cholesterol screening is usually done every 4–6 years unless there are risk factors requiring more frequent monitoring.
B. Colonoscopy
Colonoscopies are typically done every 10 years starting at age 50 unless abnormal findings or risk factors exist.
C. Visual acuity
Annual vision exams are recommended to monitor for age-related changes such as glaucoma, cataracts, and macular degeneration.
D. Check for Diabetes Mellitus
Diabetes screening is generally done every 3 years, unless risk factors (e.g., obesity, family history) warrant more frequent checks.
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