A nurse is caring for an older adult client who reports dry, itchy skin. Which of the following actions should the nurse take?
Encourage the client to bathe frequently.
Apply powder to the client's skin.
Add moisturizing oil to the client's bath water.
Place a humidifier in the client's room.
The Correct Answer is D
Dry, itchy skin is a common concern in older adults, especially during the winter months or in dry environments. Increasing the humidity in the client's environment can help alleviate dryness and itching. Placing a humidifier in the client's room will add moisture to the air and help prevent excessive drying of the skin. It is important to ensure that the humidifier is clean and well-maintained to avoid the growth of bacteria or mould.
Encouraging the client to bathe frequently may further dry out the skin, so it is not recommended. Similarly, applying powder to the skin may exacerbate dryness and should be avoided. Adding moisturizing oil to the bath water may provide temporary relief, but a humidifier will have a more consistent and long-lasting effect on the client's environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Encourage the client to be assertive. One of the goals in managing a client with dependent personality disorder is to gradually increase their independence and self-confidence. Encouraging the client to be more assertive and make decisions for themselves, with appropriate guidance and support, can be beneficial in their long-term recovery. However, it should be done gradually and with the assistance of therapy and counseling. The other options are not appropriate:
Choice B Reason:
Assuming responsibility for making the client’s, decisions would not help the client develop independence and could perpetuate their dependency.
Choice C Reason:
Maintaining a verbal no-harm contract is not specifically related to managing dependent personality disorder. It might be relevant for clients with suicidal ideation or self-harm tendencies, but it's not a primary intervention for this condition.
Choice D Reason:
Limiting the client's social interactions is not a recommended approach. Encouraging healthy social interactions and relationships can be beneficial for clients with dependent personality disorder, as long as they are appropriate and not reinforcing dependency. Explanation
Correct Answer is A
Explanation
Choice A Reason:
"I would like to observe you using your glucometer. “To evaluate the client's use of a glucometer effectively, the nurse should ask the client to demonstrate how they use the device to check their blood glucose levels. This allows the nurse to directly observe the client's technique, including proper hand hygiene, fingerstick procedure, test strip insertion, and interpretation of results. It also provides an opportunity to correct any errors or misconceptions in real-time and ensure the client is using the glucometer correctly.
Choice B Reason:
"Show me what blood glucose supplies you have available." This question assesses the client's supply inventory but does not assess their actual use of the glucometer.
Choice C Reason:
"Let me demonstrate for you how to use this machine correctly." This option involves the nurse demonstrating the use of the glucometer to the client, which may be helpful as part of teaching but does not evaluate the client's current proficiency in using the device.
Choice D Reason:
"Tell me how long you have been using this glucometer." This question inquiries about the client's history of using the glucometer but does not assess their current competence in using it.
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