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 C
Explanation
Choice A reason: Encouraging the client to use a cane when ambulating is not a cause of concern for the home health nurse, as it is a way of providing support and stability for the client, and preventing falls or injuries.
Choice B reason: Keeping several low wattage night lights on in the evening is not a cause of concern for the home health nurse, as it is a way of improving the visibility and orientation for the client, and reducing the risk of tripping or stumbling in the dark.
Choice C reason: Keeping the side rails up on the client’s bed at night is a cause of concern for the home health nurse, as it is a way of restricting the client’s mobility and increasing the likelihood of entrapment, injury, or death. Side rails can also create a false sense of security and encourage the client to climb over them, which can result in falls or fractures.
Choice D reason: Installing wooden railings on the stairway to the bathroom is not a cause of concern for the home health nurse, as it is a way of enhancing the safety and accessibility for the client, and preventing falls or slips on the stairs.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason: Heart failure can cause fluid retention, which can lead to dehydration if the fluid is not properly balanced.
Choice B reason: Functional impairments can limit the ability to drink or access fluids, which can increase the risk of dehydration.
Choice C reason: Longitudinal furrows on the tongue are a sign of dehydration, as the tongue loses moisture and becomes dry and cracked.
Choice D reason: Hypertension is not directly related to dehydration, although it can be affected by fluid intake and electrolyte balance.
Choice E reason: Diabetes can cause increased urination, which can lead to dehydration if the fluid loss is not replaced.
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