When an older female adult client complains of itching and pain and several days later shows you a rash, what do you realize she has?

Scabies

Herpes zoster

Skin cancer

Actinic keratosis

Answer and Explanation

The Correct Answer is B

Choice A reason: Scabies is a skin infestation caused by tiny mites that burrow into the skin and lay eggs. It causes intense itching and a pimple-like rash, usually in the folds of the skin, such as the armpits, groin, or between the fingers. Scabies is highly contagious and can spread through direct skin contact or shared clothing or bedding.

Choice B reason: Herpes zoster, also known as shingles, is a viral infection that affects the nerves and the skin. It causes a painful, blistering rash that usually appears on one side of the body or face. Herpes zoster is caused by the same virus that causes chickenpox, which can reactivate later in life, especially in older adults or people with weakened immune systems.

Choice C reason: Skin cancer is an abnormal growth of skin cells that can be caused by exposure to ultraviolet (UV) radiation from the sun or tanning beds. It can appear as a new or changing mole, a sore that does not heal, or a scaly or crusty patch of skin. Skin cancer can vary in appearance, size, shape, and color, depending on the type and stage of the cancer.

Choice D reason: Actinic keratosis is a precancerous skin condition that is caused by chronic sun damage. It appears as rough, scaly, or crusty spots on the skin, usually on the face, ears, scalp, or hands. Actinic keratosis can sometimes develop into squamous cell carcinoma, a type of skin cancer, if left untreated.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Recommending an indwelling urinary catheter is not a good option, as it can increase the risk of urinary tract infections, bladder spasms, and catheter-associated complications.

Choice B reason: Prompted voiding is a technique that involves reminding or prompting the client to void at regular intervals, usually every two to four hours. It can help reduce the frequency and severity of urinary incontinence episodes.

Choice C reason: Scheduled voiding is a technique that involves setting a fixed schedule for the client to void, regardless of their urge or need. It can help prevent bladder overdistension and leakage.

Choice D reason: Pelvic floor muscle exercises, also known as Kegel exercises, are exercises that involve contracting and relaxing the muscles that support the bladder, urethra, and other pelvic organs. They can help strengthen the pelvic floor muscles and improve bladder control.

Choice E reason: None of the above is not a correct answer, as there are three choices that are appropriate for helping the client with urinary incontinence.

A. Older African American women have the highest risk of suicide among older adults. B. Older adults and younger adults manifest suicidal intent in a similar manner. C. A major crisis experienced by the client can contribute to the risk of suicide. D. Ethics require that the nurse respects a person’s intent to terminate his or her own life.

Correct Answer is C

Explanation

Choice A reason: Older African American women do not have the highest risk of suicide among older adults. According to the CDC, suicide rates are highest among adults age 75 and older, and highest among males age 75 and older.

Choice B reason: Older adults and younger adults do not manifest suicidal intent in a similar manner. Older adults tend to plan suicide more carefully, use more lethal means, and have fewer warning signs than younger adults.

Choice C reason: A major crisis experienced by the client can contribute to the risk of suicide. Older adults may face various stressors, such as bereavement, loneliness, chronic illness, or loss of independence, that can trigger suicidal thoughts or behavior.

Choice D reason: Ethics do not require that the nurse respects a person’s intent to terminate his or her own life. Nurses have a duty to protect the safety and well-being of their clients, and to intervene if they suspect suicidal risk.

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When an older female adult client complains of itching and pain and several days later shows you a rash, what do you realize she has?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Some things that you, as the nurse, might teach your client to help control urinary incontinence include which of the following (Select all that apply)?

Correct Answer is ["B","C","D"]

Explanation

Which of the following is a true statement concerning suicide among older adults?

Correct Answer is C

Explanation

You notice that your older adult male client frequently knocks his arm or hand against door frames or chair backs and then develops a purpura. What do you advise your client to do? (Select all that apply.)

The promotion of an adequate fluid balance which prevents medical complications is defined as?

A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?

The older adult who is diagnosed with type 2 diabetes mellitus has a sensory impairment and unstable blood sugar levels. Which of the following alterations in sensory function does the nurse address in the plan of care for stabilizing the blood sugar?

The nurse is caring for a client diagnosed with hyperthyroidism. Which signs and symptoms indicate hyperthyroidism? (Select all that apply.)

Which disorder would the nurse suspect in a patient complaining of intense headaches, bloodshot eyes, and blurred vision? This is considered a medical emergency.

Which is the best goal when planning nursing care for an older client diagnosed with diabetes mellitus?