You notice that your older adult male client frequently knocks his arm or hand against door frames or chair backs and then develops a purpura. What do you advise your client to do? (Select all that apply.)
Protect the skin from trauma.
Remind the health care personnel to be gentle when handling this client’s skin.
Wear a long-sleeved shirt.
Tape a nonadherent dressing over the site of a skin tear.
Correct Answer : A,B,D
Choice A: Protect the skin from trauma. This is a correct answer. Purpura is the discoloration of the skin or mucous membranes due to hemorrhage from small blood vessels¹. It can be caused by various factors, such as blood clotting disorders, medications, infections, or weak blood vessels². Older adults are more prone to develop purpura because their skin becomes thinner and more fragile with age³. Therefore, protecting the skin from trauma, such as knocking against hard surfaces, can help prevent or reduce purpura.
Choice B: Remind the health care personnel to be gentle when handling this client’s skin. This is also a correct answer. Health care personnel should be aware of the risk of purpura in older adults and handle their skin with care. They should avoid applying excessive pressure, friction, or shear forces to the skin, as these can cause damage to the blood vessels and result in purpura. They should also use soft and smooth materials, such as cotton or silk, when dressing or cleaning the skin.
Choice C: Wear a long-sleeved shirt. This is not a correct answer. Wearing a long-sleeved shirt may provide some protection to the skin, but it is not enough to prevent purpura. Moreover, wearing tight or rough clothing can actually worsen the condition by causing irritation or injury to the skin. Therefore, this is not a good advice for the client.
Choice D: Tape a nonadherent dressing over the site of a skin tear. This is another correct answer. A skin tear is a type of wound that occurs when the skin is separated from the underlying tissue, usually due to trauma. Skin tears are common in older adults and can lead to purpura if the blood vessels are damaged. Taping a nonadherent dressing over the site of a skin tear can help protect the wound from infection, promote healing, and prevent further bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason:
It is important for the client to document any difficulty starting or stopping the urinary stream as this can indicate potential issues with bladder function or muscle control.
Choice B reason:
Documenting the character of the urine, such as color and odor, can provide valuable insights into potential underlying health issues, such as dehydration or urinary tract infections.
Choice C reason:
The ability to reach a toilet and use it is crucial information as it helps in understanding the client's mobility and accessibility to restroom facilities, which can impact her urinary patterns.
Choice D reason:
Although not listed, it's essential to note that having a bowel movement at the same time can also provide insights into potential underlying issues and patterns related to urinary incontinence.
Choice E reason:
The amount and timing of fluid intake and urine output are imperative to track as they can reveal patterns and potential triggers for urinary incontinence, aiding in the development of an effective management plan.
Correct Answer is D
Explanation
Choice A reason: Health equity is not the definition of health disparity, but rather the opposite of it. Health equity is the state of fair and equal opportunity for everyone to achieve optimal health, regardless of social or economic factors.
Choice B reason: The difference between an expected incidence and prevalence and that which actually occurs in a comparison population group is not the definition of health disparity, but rather a way of measuring it. Incidence and prevalence are epidemiological terms that refer to the number of new and existing cases of a disease or condition in a population, respectively.
Choice C reason: The systematic elimination of the culture of another resulting in decreased wellness is not the definition of health disparity, but rather an example of cultural genocide. Cultural genocide is the deliberate destruction of the identity, heritage, or traditions of a group of people.
Choice D reason: Differences in health outcomes between groups is the definition of health disparity, as it describes the situation where some groups of people experience worse health status or quality of life than others, due to factors such as race, ethnicity, gender, income, education, or geography.
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