Which older adult on bed rest is most at risk to develop skin breakdown? A client who:.

Applies powder after drying the skin.

Has been NPO for four days.

Bathes twice a week.

Has hypertension.

Answer and Explanation

The Correct Answer is B

A client who has been NPO for four days is most at risk to develop skin breakdown. This is because being NPO (nothing by mouth) can lead

to malnutrition and dehydration, which are both risk factors for bedsores. Malnutrition can impair the skin’s ability to heal and resist infection, while dehydration can make the skin dry and fragile.

Choice A is wrong because applying powder after drying the skin can help prevent moisture and friction, which are also risk factors for bedsores.

Choice C is wrong because bathing twice a week may not be frequent enough to keep the skin clean and free of irritants, which can also contribute to bedsores.

Choice D is wrong because hypertension (high blood pressure) does not directly cause bedsores, although it may be associated with other conditions that affect blood circulation and tissue oxygenation.

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Correct Answer is D

Explanation

This question evaluates the client’s understanding of the most important infection control measure for hepatitis A, which is hand hygiene. Hepatitis A is transmitted through ingestion of contaminated food and water or through direct contact with an infectious person’s feces.

Washing hands after using the toilet can prevent the spread of the virus to others and to oneself.

Choice A is wrong because eating raw shellfish is not a risk factor for hepatitis A unless the shellfish is contaminated with the virus from polluted water.

Choice B is wrong because cooking pork products does not affect hepatitis A transmission, as the virus is not found in pork or other meats.

Choice C is wrong because traveling out of the country is not a risk factor for hepatitis A unless the destination has poor sanitation and hygiene conditions.

A. “I will take my water pill in the morning so I don’t have to go to the bathroom so much at night.”. B. “I will limit how much I drink to reduce my chance of having an accident.”. C. “I plan to use the commode next to my bed instead of trying to make it to the bathroom.”. D. “I want to use the commode in my room instead of wearing adult briefs.”.

Correct Answer is B

Explanation

Limiting fluid intake can lead to dehydration and concentrated urine, which can irritate the bladder and increase the risk of infection. Older adults should drink about 2 liters of fluid per day unless they have a medical condition that requires fluid restriction.

Choice A is correct because taking diuretics in the morning can reduce nocturia and improve sleep quality.

Choice C is correct because using a commode next to the bed can prevent falls and injuries that may occur when trying to reach the bathroom in a hurry.

Choice D is correct because using a commode in the room can preserve dignity and comfort, and reduce skin breakdown and odor that may result from wearing adult briefs.

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Which older adult on bed rest is most at risk to develop skin breakdown? A client who:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the best question to evaluate a client’s understanding of infection control measures while receiving treatment for hepatitis A?

Correct Answer is D

Explanation

Which statement, if made by an older client diagnosed with urinary incontinence, indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is screening a community group for hypertension. Which person should be referred for immediate treatment?

Which age-related physiological change puts a client at higher risk for adverse medication complications?

Which is the most appropriate action when obtaining a sterile urine specimen from an indwelling urinary catheter?

A nurse has received report on four clients. What client should the nurse see first?

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