Exam 17: Care of Aging Skin and Mucous Membranes

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The older man complains of a hard white patch that has developed on the side of his tongue. What would be the most appropriate action of the nurse?

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C

What would be the most effective intervention to prevent pressure ulcers in the bedridden patient?

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C

The nurse instructs a group of older adults on how to maintain intact skin. What would be included in the teaching plan? (Select all that apply.)

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A,B,E

The older adult complains of multiple bruises on his extremities. What are the marks the result of?

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What preventative action can be taken to prevent skin trauma from shearing force?

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The nurse assesses an area of skin on the patient's upper thigh that is different in appearance than the surrounding skin. What documentation would be the most informative?

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When the patient complains of dry mouth, what should the nurse assess for?

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On the admission assessment of an 80-year-old to a long-term care facility, the nurse notes that the resident's toenails are dark, thick, and brittle; extremely misshapen; and growing at an angle from the toe. What does the nurse suspect has caused the changes in the nails?

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What is the purpose of the hydrocolloid dressing applied to a clean stage II pressure ulcer? (Select all that apply.)

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A patient's toenails are brittle and thick. What other assessment should the nurse be sure to include?

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An 80-year-old woman complains of pruritus from dry skin. What would be an appropriate bathing schedule for the patient?

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When performing a skin assessment for pressure ulcers on an older man who is bedridden and prefers to lie on his right side, the nurse will pay special attention to the __________. (Select all that apply.)

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What is the cause of progressively graying hair?

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The admitting nurse gives the new long-term care facility resident a score of 20 on both the Norton Risk Assessment Scale and the Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident has

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On the admission assessment of a resident to a long-term care facility, the nurse notes a painless area on the patient's coccyx that has partial skin loss. The nurse would record this as a stage _____ pressure ulcer.

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The long-term care facility resident who has not worn his dentures for several months complains that the dentures no longer fit. Why do the dentures no longer fit?

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The male patient who has been on long-term antibiotic therapy inquires what may have caused his thrush. What is the most informative response of the nurse?

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What are causes of xerostomia in the older adult? (Select all that apply.)

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The long-term care facility nurse requests a dental consult to treat gingivitis in a resident. If left untreated, what can gingivitis ultimately cause?

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Which of the following are signs of Vincent angina? (Select all that apply.)

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