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 B
Explanation
Choice A Reason:
Recording blood glucose levels during a 24-hour creatinine clearance test is not typically necessary for this test. This test primarily measures kidney function, not blood glucose levels.
Choice B Reason:
"You can begin collection of urine after discarding your first morning void." When conducting a 24-hour creatinine clearance test, the client should begin the collection of urine after discarding their first morning void. This helps ensure that the urine collected during the test is a continuous sample that includes both daytime and nighttime urine output. The client should discard the first void of the day but then collect all urine voided for the next 24 hours, including the first void of the following morning.
Choice C Reason:
Eating a protein-rich diet during the collection period can affect the accuracy of the test results, as it may increase creatinine excretion. The client should follow the healthcare provider's instructions regarding dietary restrictions.
Choice D Reason:
Cleansing the perineal area with an antiseptic towel each time before voiding is not typically required for this test. It is more important to ensure that all urine is collected and that the collection container is stored properly to prevent contamination.
Correct Answer is B
Explanation
Choice A Reason:
Contact precautions are not sufficient for tuberculosis (TB), which is an airborne infection. Instead, airborne precautions should be initiated.
Choice B Reason:
Increasing the client's daily intake of vitamin D may be considered as a complementary measure to support the immune system.
Choice C Reason:
Performing tuberculin skin testing (TST) is a diagnostic test for TB but is typically not included in the plan of care for a newly admitted client with confirmed TB.
Choice D Reason:
Placing the client in a positive-pressure isolation room is not the recommended isolation method for clients with TB. Negative-pressure isolation rooms help prevent the spread of infectious airborne diseases like TB.
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