A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults, such as thinning skin. How should these students best integrate these changes into care planning?
By avoiding the use of ice packs to treat muscle pain
By protecting older adults against excessive sweat accumulation
By protecting older adults against shearing injuries
By avoiding the use of lotion on older adults' skin
The Correct Answer is C
A. Avoiding the use of ice packs to treat muscle pain - While ice packs can cause skin damage in older adults with thinning skin, it is not the most appropriate response to the question. Protecting against shearing injuries is a more direct and specific concern related to thinning skin.
B. Protecting older adults against excessive sweat accumulation - Excessive sweat accumulation can lead to skin irritation, but this option does not directly address the issue of thinning skin as the primary concern in the question.
C. By protecting older adults against shearing injuries
Thinning skin in older adults makes them more vulnerable to skin injuries, especially shearing injuries. Shearing occurs when the skin is pulled in one direction while the underlying bone and tissues are pulled in the opposite direction. This can lead to skin tears and other wounds, which can be painful and slow to heal in older adults. Nurses should take special precautions to prevent shearing injuries, such as using lift sheets or sliding devices when moving patients, and ensuring that patients are repositioned frequently to reduce friction and shearing forces.
D. Avoiding the use of lotion on older adults' skin - Proper moisturization of the skin is important, especially in older adults, to prevent dryness and skin breakdown. Avoiding lotion is not a recommended practice; instead, choosing appropriate, non-irritating lotions can help maintain skin integrity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
Weightinkg=Weightinlb÷2.2
Weightinkg=88÷2.2≈40
Calculate the dose of cefpodoxime:
The prescribed dose is 5 mg/kg.
Doseinmg=Weightinkg×Doseperkg
Doseinmg=40×5=200
The nurse should administer 200 mg of cefpodoxime.
Correct Answer is A
Explanation
A. Calcium Oxalate
The most common substance found in the analysis of renal stones is calcium oxalate. Calcium oxalate stones are the most prevalent type of kidney stones, accounting for the majority of cases. These stones can form when there is an excess of calcium or oxalate in the urine, and they can vary in size and shape. Other types of kidney stones include uric acid stones, struvite stones (magnesium-ammonium phosphate), and cystine stones, but calcium oxalate stones are the most common.
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