Which of the following causes skin breakdown?
Incontinence
Altered level of consciousness
Immobility
All of the above
The Correct Answer is D
Choice A: Incontinence is a cause of skin breakdown, as it can expose the skin to moisture, bacteria, and chemicals that can irritate and damage the skin.
Choice B: Altered level of consciousness is a cause of skin breakdown, as it can impair the patient's ability to sense and report pain, discomfort, or pressure on the skin.
Choice C: Immobility is a cause of skin breakdown, as it can reduce the blood flow and oxygen to the skin and increase the pressure on bony prominences.
Choice D: All of the above is correct, as all of these factors can contribute to skin breakdown.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Dark quiet room is correct, as it can reduce the sensory stimulation and help the patient relax and rest.
Choice B: Massage is correct, as it can relieve muscle tension and improve blood circulation in the head and neck.
Choice C: Pain medication is correct, as it can reduce inflammation and block pain signals in the brain.
Choice D: All of the above is correct, as all of these interventions can help manage headache.
Correct Answer is C
Explanation
Choice A: Loss of motor neurons in the brain is not a complete definition of ALS, as it does not include the loss of motor neurons in the spinal cord and brainstem.
Choice B: Loss of sensory neurons in the anterior horn of the spinal cord is not a correct definition of ALS, as it involves sensory neurons, not motor neurons.
Choice C: Loss of motor neurons in the anterior horn of the spinal cord and loss of motor nuclei of the lower brainstem is a correct definition of ALS, as it describes the progressive degeneration and death of both upper and lower motor neurons that control voluntary muscle movements²⁴.
Choice D: All of the above is not correct, as only choice C is a correct definition of ALS.
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