Which of the following causes skin breakdown?
Incontinence
Altered level of consciousness
Immobility
All of the above
The Correct Answer is D
Choice A: Incontinence is a cause of skin breakdown, as it can expose the skin to moisture, bacteria, and chemicals that can irritate and damage the skin.
Choice B: Altered level of consciousness is a cause of skin breakdown, as it can impair the patient's ability to sense and report pain, discomfort, or pressure on the skin.
Choice C: Immobility is a cause of skin breakdown, as it can reduce the blood flow and oxygen to the skin and increase the pressure on bony prominences.
Choice D: All of the above is correct, as all of these factors can contribute to skin breakdown.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Dark quiet room is correct, as it can reduce the sensory stimulation and help the patient relax and rest.
Choice B: Massage is correct, as it can relieve muscle tension and improve blood circulation in the head and neck.
Choice C: Pain medication is correct, as it can reduce inflammation and block pain signals in the brain.
Choice D: All of the above is correct, as all of these interventions can help manage headache.
Correct Answer is D
Explanation
Choice A: Fall risk assessment is important for patients with Parkinson's, as they may have impaired balance, gait, and coordination, as well as muscle stiffness and tremor, that can increase their risk of falling and injuring themselves¹.
Choice B: Swallowing assessment is important for patients with Parkinson's, as they may have difficulty chewing and swallowing due to reduced muscle control in the mouth and throat, which can lead to malnutrition, dehydration, and aspiration pneumonia¹.
Choice C: Skin assessment is important for patients with Parkinson's, as they may have reduced sweating and sebum production due to autonomic dysfunction, which can cause dry and cracked skin that is prone to infection¹.
Choice D: All of the above is correct, as all of these assessments are relevant for patients with Parkinson's.
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