Which of the following is a true statement about skin care for older adults?
A licensed practical nurse is qualified to care for the feet of a client with diabetes
Onychomycosis is quickly eradicated with antifungal creams or powders
Maintaining oral hydration may reduce the incidence of xerosis
Ram’s-horn nail should be cut to give a smooth, rounded edge
The Correct Answer is C
Choice A reason: A licensed practical nurse is qualified to care for the feet of a client with diabetes is false because foot care for people with diabetes requires specialized training and skills that are beyond the scope of practice of a licensed practical nurse. A registered nurse or a podiatrist should provide foot care for people with diabetes, as they can assess, treat, and prevent foot problems such as ulcers, infections, or nerve damage.
Choice B reason: Onychomycosis is quickly eradicated with antifungal creams or powders is false because onychomycosis, or fungal nail infection, is a stubborn and persistent condition that can take months or years to clear. Antifungal creams or powders are usually not effective for onychomycosis, as they cannot penetrate the nail plate. Oral antifungal medication or laser therapy may be needed to treat onychomycosis.
Choice C reason: Maintaining oral hydration may reduce the incidence of xerosis is true because xerosis, or dry skin, is a common problem for older adults, as their skin produces less oil and moisture. Drinking enough fluids can help hydrate the skin and prevent dryness, itching, cracking, or infection. The recommended fluid intake for older adults is 2400 mL/day, according to the National Council on Aging.
Choice D reason: Ram’s-horn nail should be cut to give a smooth, rounded edge is false because ram’s-horn nail, or onychogryphosis, is a condition where the nail becomes thickened, curved, and distorted. Cutting the nail can be difficult and painful, and may cause bleeding or infection. A podiatrist should trim and file the nail, and treat any underlying causes of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Position the client to achieve their comfort is not the most important intervention, as it does not address the potential risks of opioid analgesics, such as respiratory depression, sedation, and falls. Comfort is important, but not the priority in this situation.
Choice B reason: Offer toileting and a sip of water is not the most important intervention, as it does not address the potential risks of opioid analgesics, such as respiratory depression, sedation, and falls. Toileting and hydration are important, but not the priority in this situation.
Choice C reason: Place side rails up x 4 is not the most important intervention, as it may not prevent the client from getting out of bed and falling. Side rails may also be considered a restraint, which can increase the risk of injury and agitation. Side rails are not a substitute for proper supervision and assistance.
Choice D reason: Instruct the client to ask for help before getting up is the most important intervention, as it can prevent the client from falling and injuring themselves. Opioid analgesics can impair the client's balance, coordination, and judgment, making them more prone to falls. The nurse should educate the client about the effects of opioids and the importance of asking for help before attempting to get out of bed.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the most important intervention for the nurse to implement before leaving the client’s room.
Correct Answer is A
Explanation
Choice A reason: Call 9-1-1 is the best action to take initially, as the client may be having another TIA or a stroke. The nurse should act fast and seek emergency medical attention for the client, as timely intervention can prevent permanent brain damage and disability.
Choice B reason: Determine if the client has a history of migraine headaches is not the best action to take initially, as it may delay the diagnosis and treatment of a possible TIA or stroke. Migraine headaches can cause similar symptoms to a TIA or stroke, but they are not the same condition and require different management.
Choice C reason: Give the client a dose of acetaminophen is not the best action to take initially, as it may mask the symptoms of a possible TIA or stroke and interfere with the blood clotting process. Acetaminophen is a pain reliever and a fever reducer, but it is not effective for treating a TIA or stroke.
Choice D reason: Assure the client the symptoms will resolve within 24 hours is not the best action to take initially, as it may give the client a false sense of security and prevent them from seeking urgent medical care. A TIA or stroke is a medical emergency that requires immediate attention, as the symptoms may worsen or become permanent.
Choice E reason: None of the above is not the correct answer, as there is one choice that is the best action to take initially.
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