Exam 16: Health Promotion and Healthy Aging
You work as a nurse in a physician's office, and one of your older patients experiences persistent pain from osteoarthritis. How would you classify this type of pain?
C
As a nurse working in a community health care clinic, you are preparing a handout on foot care to give to your older clients and their caregivers. List some of the recommendations you would include on the handout.
Recommendations for foot care should include the following:
(1) Maintain a well-balanced diet.
(2) Wash the feet daily in warm water using mild soap. Dry well, especially between the toes, and apply an emollient such as Vaseline. Care should be taken to avoid falling.
(3) Inspect the feet daily for dry skin, toenail problems, sores, blisters, cracks, changes in skin temperature indicating possible circulatory impairment, changes in color or sensation, thickened toenails, reddened areas, swelling, pain, ulcers, drainage (indicative of infection), and odor. A family member may need to do these inspections if an older person has visual or manipulative difficulties.
(4) Cut nails straight across to avoid skin punctures and ingrown toenails.
(5) Wear shoes that fit. Those with diabetes or circulatory problems should be especially careful to wear enclosed leather shoes that still allow the feet to breathe.
(6) Never go barefoot because of the danger of injury and consequent infection.
(7) Have corns and calluses cut and treated by a podiatrist.
(8) Use range-of-motion exercises for the feet to preserve mobility.
(9) Maintain adequate circulation of blood to the feet by walking, stretching, or specific exercises. A foot massage or a warm foot bath also promotes circulation.
As a new nurse working in an independent living facility for older adults, you have been shocked at the number of residents who struggle with alcoholism. Which of the following are risk factors for this disease that you should keep in mind as you serve this population? Select all that apply.
A, B, D
At the nursing care facility where you work, several falls have occurred among residents in recent weeks. Which of the following are extrinsic factors related to falls that you should be aware of to aid in their prevention? Select all that apply.
As a gerontologist working in a local hospital, you are caring for a patient who has developed a bunion on her big toe. Which of the following are proper interventions for you to make? Select all that apply.
As a nurse working in an independent living facility for older adults, you work with a resident whom you suspect of being alcoholic. Which of the following physical effects that you have observed in this patient would tend to confirm your suspicion? Select all that apply.
Which of the following is the best attitude for a health professional to adopt when caring for an older adult who is experiencing chronic pain?
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