Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?

Each evening

Once every shift

Every 4 hours

Every 2 hours

Answer and Explanation

The Correct Answer is D

A. Each evening: Turning the patient only once per day is insufficient to prevent pressure injuries.
B. Once every shift: This is also inadequate as it does not provide the frequent repositioning necessary to prevent pressure injuries.
C. Every 4 hours: While better than every shift, every 4 hours may still not be frequent enough to prevent pressure injuries in at-risk patients.
D. Every 2 hours: Frequent repositioning, such as every 2 hours, is essential for pressure injury prevention in bedfast patients.

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Correct Answer is C

Explanation

A. Help the patient interact in nonaddictive activities. While engaging in nonaddictive activities is important for long-term recovery, the primary concern during the detoxification period is managing withdrawal symptoms and ensuring safety.
B. Enroll the patient in Alcoholics Anonymous (AA). Enrolling in AA or similar support groups is beneficial for ongoing recovery, but the focus during detoxification should be on managing acute withdrawal symptoms and safety.
C. Keep the patient safe from aspiration and seizure. During detoxification, patients are at risk for serious complications such as seizures and aspiration due to withdrawal symptoms. Ensuring patient safety by monitoring for these conditions is a primary goal.
D. Help the patient gain insight into the addiction. Gaining insight into addiction is important for long-term recovery but is not the immediate priority during the detoxification period, which focuses on managing physical withdrawal symptoms and ensuring patient safety.

A. Tasteless food B. Overuse of salt C. Loss of taste buds D. Lack of variety

Correct Answer is C

Explanation

A. Tasteless food: While tasteless food could be a factor, it’s less likely to be the primary cause, especially if the issue is widespread and persistent.

B. Overuse of salt: Overuse of salt might affect taste but is not a common cause of loss of taste or appetite in older adults.

C. Loss of taste buds: Aging can lead to a decrease in the number of taste buds and a reduced ability to taste food, leading to a loss of appetite.

D. Lack of variety: Lack of variety might affect appetite but is not typically the cause of a complete loss of taste.

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Because thin skin and lack of subcutaneous fat predisposes the older adult to pressure injuries, the nurse alters the care plan to include turning the bedfast patient how often?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the detoxification period, what does the nurse aim to achieve when designing interventions?

Correct Answer is C

Explanation

The older patient informs the nurse that food has no taste and therefore the patient has no appetite. What is this most likely caused by?

Correct Answer is C

Explanation

Which patient instruction will the nurse reinforce relative to the management of systemic lupus erythematosus (SLE)?

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