The mortality rate for burns is highest in the elderly population. What factors put the very elderly at a high risk? (Select all that apply.)
Elderly tend to heal more slowly.
The elderly person has a greater proportion of body surface area per amount of body mass.
The elderly person has less physiological reserves.
Elderly patients have thicker skin.
Elderly patients have comorbidities.
Correct Answer : A,B,C,E
The elderly tend to heal more slowly which can delay wound healing and increase the risk of infection. The elderly person has a greater proportion of body surface area per amount of body mass which increases the amount of skin available for injury, and thus the severity of the burn. The elderly person has less physiological reserves which makes it more difficult for the body to respond to injury and stress. Elderly patients have comorbidities such as diabetes, cardiovascular disease, and respiratory disease that can impair the body's ability to heal and increase the risk of complications. Elderly patients do not typically have thicker skin as it thins with age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
If suspicion of abuse exists then reporting is mandatory.
Choice A is incorrect because civil liability does not depend on whether the abuse can be proven or not, but on whether the report was made in good faith or not.
Choice B is incorrect because evidence of abuse does not need to be collected prior to reporting, but only reasonable suspicion of abuse.
Choice C is incorrect because reporting is not voluntary for healthcare workers, but mandatory by law.
Choice D is correct because if suspicion of abuse exists then reporting is mandatory for any person, agency, organization, or entity with direct knowledge of child abuse or neglect.
Correct Answer is A
Explanation
The nurse should determine the patient's triage level and examine and stabilize the patient as needed when caring for a patient without health insurance who is limping and dripping blood from a head wound in the Emergency department. This intervention is the priority because the patient could be at risk of life-threatening complications if their condition is left untreated. Giving the patient information about facilities that specialize in treating people without health insurance, choice B, and asking the patient to sign in and provide method of payment for services, choice C, may be necessary but are not the priority at this time. Transferring the patient to a hospital that specializes in traumatic brain injuries, choice D, may be necessary after stabilizing the patient, but it is not the priority at this time.
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