Question 1

Which nursing intervention is most likely to prevent the creation of an environment conducive to fungal growth?

Accepted Answer

A)  Provide oral care with soft-bristled brush. 
B)  Apply nystatin powder to reddened tissue. 
C)  Use mild skin cleansing agents and blot dry. 
D)  Apply gauze soaked with antifungal lotion. 
A)  Provide oral care with soft-bristled brush. 
B)  Apply nystatin powder to reddened tissue. 
C)  Use mild skin cleansing agents and blot dry. 
D)  Apply gauze soaked with antifungal lotion. C

Question 2

The nurse cares for an older man who has a malignant melanoma.Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?

Accepted Answer

A)  Place posters about sunscreen in the halls of his apartment building. 
B)  Promote the application of a sunscreen at his neighborhood health fair. 
C)  Tell him to schedule all outdoor activities after 4 PM daily. 
D)  Instruct him to wear sun-protective clothing and a hat at all times. 
A)  Place posters about sunscreen in the halls of his apartment building. 
B)  Promote the application of a sunscreen at his neighborhood health fair. 
C)  Tell him to schedule all outdoor activities after 4 PM daily. 
D)  Instruct him to wear sun-protective clothing and a hat at all times. D

Question 3

Which of the following is a true statement about skin care for older adults?

Accepted Answer

A)  A licensed practical nurse is qualified to care for the feet of a patient with diabetes. 
B)  Onychomycosis is quickly eradicated with antifungal creams or powders. 
C)  A ram's-horn nail should be cut to give a smooth, rounded edge. 
D)  Maintaining oral hydration may reduce the incidence of xerosis. 
A)  A licensed practical nurse is qualified to care for the feet of a patient with diabetes. 
B)  Onychomycosis is quickly eradicated with antifungal creams or powders. 
C)  A ram's-horn nail should be cut to give a smooth, rounded edge. 
D)  Maintaining oral hydration may reduce the incidence of xerosis. D

Question 4

Which infection-control practice should the nurse implement when caring for an older adult who has active herpes zoster?

Accepted Answer

A)  Wear a face shield and gown for all patient contact. 
B)  Instruct the staff and visitors to wear a type of respirator mask. 
C)  Use a hospital room that has negative airflow circulation. 
D)  Cover ruptured skin lesions with a nonabsorbent dressing. 
A)  Wear a face shield and gown for all patient contact. 
B)  Instruct the staff and visitors to wear a type of respirator mask. 
C)  Use a hospital room that has negative airflow circulation. 
D)  Cover ruptured skin lesions with a nonabsorbent dressing.

Question 5

The nurse monitors for which clinical indicator when the older adult complains of pruritus?

Accepted Answer

A)  Coarse skin 
B)  Brown macule 
C)  Brownish skin 
D)  Regional edema 
A)  Coarse skin 
B)  Brown macule 
C)  Brownish skin 
D)  Regional edema

Question 6

A nurse will be conducting an educational session on preventing skin cancer at a local senior citizens center.Which should the nurse include in the session?

Accepted Answer

A)  Squamous cell cancer may appear similar to a wart. 
B)  Basal cell carcinoma is more common in women. 
C)  Actinic keratosis begins as a pearly papule. 
D)  Melanoma is characterized by rough, scaly patches. 
A)  Squamous cell cancer may appear similar to a wart. 
B)  Basal cell carcinoma is more common in women. 
C)  Actinic keratosis begins as a pearly papule. 
D)  Melanoma is characterized by rough, scaly patches.

Question 7

Although intact skin effectively protects an individual,it functions within physiological limits.Which qualities of healthy skin work synergistically within these limits to absorb,cushion against,deflect,or neutralize potentially harmful forces,as well as protect against potentially harmful substances that might impair skin integrity?

Accepted Answer

A)  Strength 
B)  Pliability 
C)  Location 
D)  Durability 
E)  Moistness
F)Pigmentation 
A)  Strength 
B)  Pliability 
C)  Location 
D)  Durability 
E)  Moistness
F)Pigmentation

Question 8

The nurse is conducting an admission assessment on an older adult and notes a small lesion with a multicolor appearance.Which assessment approach should the nurse use?

Accepted Answer

A)  Braden Scale 
B)  Wound staging 
C)  ABCD (asymmetry, border, color, diameter) rule 
D)  Pressure ulcer scale for healing (PUSH) tool 
A)  Braden Scale 
B)  Wound staging 
C)  ABCD (asymmetry, border, color, diameter) rule 
D)  Pressure ulcer scale for healing (PUSH) tool

Question 9

An older adult is vitamin deficient.Which of the following does the nurse offer to the older adult to provide the important missing vitamin for maintaining healthy skin and enhancing tissue repair?

Accepted Answer

A)  Carrot sticks 
B)  Nonfat milk 
C)  Orange slices 
D)  Unsalted nuts 
A)  Carrot sticks 
B)  Nonfat milk 
C)  Orange slices 
D)  Unsalted nuts

Question 10

An older patient complains of dry skin and asks for advice.Which advice should the nurse offer for improving dry skin?

Accepted Answer

A)  Add oil to the bath water to keep skin soft. 
B)  Use tepid bath water. 
C)  Move to a climate with lower humidity. 
D)  Vigorously dry skin with a rough towel after bathing. 
A)  Add oil to the bath water to keep skin soft. 
B)  Use tepid bath water. 
C)  Move to a climate with lower humidity. 
D)  Vigorously dry skin with a rough towel after bathing.

Question 11

The nurse plans care to protect the skin covering an older adult's greater trochanter.Which of the following interventions is the nurse's priority when the older adult is positioned on the side?

Accepted Answer

A)  Implement a turning schedule. 
B)  Place a cushion between the knees. 
C)  Keep the skin clean and dry. 
D)  Use the Sims' position. 
A)  Implement a turning schedule. 
B)  Place a cushion between the knees. 
C)  Keep the skin clean and dry. 
D)  Use the Sims' position.

Question 12

A dermatologist should promptly evaluate which one of the following skin lesions?

Accepted Answer

A)  Circumscribed, raised area resembling a blob of brown wax 
B)  Multicolored raised lesion with a fuzzy border 
C)  Bright red, glazed area with satellite lesions around it 
D)  Brown spot on the skin with no raised area 
A)  Circumscribed, raised area resembling a blob of brown wax 
B)  Multicolored raised lesion with a fuzzy border 
C)  Bright red, glazed area with satellite lesions around it 
D)  Brown spot on the skin with no raised area

Question 13

Which topical agent is safe to apply?

Accepted Answer

A)  Cornstarch to absorb moisture in the groin area 
B)  Betadine to disinfect a healing pressure ulcer 
C)  An over-the-counter preparation to dissolve a corn 
D)  Light mineral oil to moisten skin after bathing 
A)  Cornstarch to absorb moisture in the groin area 
B)  Betadine to disinfect a healing pressure ulcer 
C)  An over-the-counter preparation to dissolve a corn 
D)  Light mineral oil to moisten skin after bathing

Question 14

An older adult woman complains of foot pain from a corn.After assessing her feet,which intervention should the nurse implement to alleviate her discomfort safely?

Accepted Answer

A)  Cut out an oval corn pad to make a U shape. 
B)  Use a corn pad slightly larger than the corn. 
C)  Gently remove the corn with a sterile razor blade. 
D)  Tape her toe with the corn to the other toes. 
A)  Cut out an oval corn pad to make a U shape. 
B)  Use a corn pad slightly larger than the corn. 
C)  Gently remove the corn with a sterile razor blade. 
D)  Tape her toe with the corn to the other toes.

Question 15

Which of the following is a true statement about impaired skin integrity?

Accepted Answer

A)  Stage III pressure ulcer cannot regress to stage II because the subcutaneous tissues regenerate. 
B)  Stasis ulcer is another term for pressure ulcer. 
C)  Muscle and fat cannot regenerate. 
D)  Weight reduction is recommended to help prevent pressure ulcers. 
A)  Stage III pressure ulcer cannot regress to stage II because the subcutaneous tissues regenerate. 
B)  Stasis ulcer is another term for pressure ulcer. 
C)  Muscle and fat cannot regenerate. 
D)  Weight reduction is recommended to help prevent pressure ulcers.

Question 16

Which of the following patient(s)does the nurse identify as at risk for developing fungal infections?

Accepted Answer

A)  Obesity 
B)  Multiple sclerosis 
C)  Impaired mental status 
D)  Incontinent 
E)  Bedridden 
A)  Obesity 
B)  Multiple sclerosis 
C)  Impaired mental status 
D)  Incontinent 
E)  Bedridden

Question 17

The nurse determines the risk for a pressure ulcer in an older adult who is 6 feet tall and weighs 155 pounds.Which patient information should the nurse use in planning care to reduce this individual's risk for a pressure ulcer?

Accepted Answer

A)  Osteoarthritis of neck 
B)  Dry mucous membranes 
C)  Prealbumin level 7 mg/dl 
D)  Fasting glucose 140 mg/dl 
E)  Serum sodium 135 mEq/dl
F)Uses food stamps to get food 
A)  Osteoarthritis of neck 
B)  Dry mucous membranes 
C)  Prealbumin level 7 mg/dl 
D)  Fasting glucose 140 mg/dl 
E)  Serum sodium 135 mEq/dl
F)Uses food stamps to get food

Question 18

Which of the following is an important consideration about the skin of an older adult person?

Accepted Answer

A)  Generous amounts of soap should be used for cleansing. 
B)  Sweat gland activity increases. 
C)  Skin becomes more vulnerable to damage. 
D)  Skin becomes darker in unexposed areas. 
A)  Generous amounts of soap should be used for cleansing. 
B)  Sweat gland activity increases. 
C)  Skin becomes more vulnerable to damage. 
D)  Skin becomes darker in unexposed areas.

Question 19

The nurse identifies which of the following intervention(s)in the treatment of fungal infections?

Accepted Answer

A)  Eliminate the conditions that created the problem. 
B)  Lubricate affected area daily with moisturizing lotion. 
C)  Thoroughly clean and dry skin daily. 
D)  Use an antibacterial cleanser daily. 
E)  Apply miconazole (Micatin)as directed. 
A)  Eliminate the conditions that created the problem. 
B)  Lubricate affected area daily with moisturizing lotion. 
C)  Thoroughly clean and dry skin daily. 
D)  Use an antibacterial cleanser daily. 
E)  Apply miconazole (Micatin)as directed.

Exam 12: Promoting Healthy Skin and Feet

Which nursing intervention is most likely to prevent the creation of an environment conducive to fungal growth?

The nurse cares for an older man who has a malignant melanoma.Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?

Which of the following is a true statement about skin care for older adults?

Which infection-control practice should the nurse implement when caring for an older adult who has active herpes zoster?

The nurse monitors for which clinical indicator when the older adult complains of pruritus?

A nurse will be conducting an educational session on preventing skin cancer at a local senior citizens center.Which should the nurse include in the session?

The nurse is conducting an admission assessment on an older adult and notes a small lesion with a multicolor appearance.Which assessment approach should the nurse use?

An older adult is vitamin deficient.Which of the following does the nurse offer to the older adult to provide the important missing vitamin for maintaining healthy skin and enhancing tissue repair?

An older patient complains of dry skin and asks for advice.Which advice should the nurse offer for improving dry skin?

The nurse plans care to protect the skin covering an older adult's greater trochanter.Which of the following interventions is the nurse's priority when the older adult is positioned on the side?

A dermatologist should promptly evaluate which one of the following skin lesions?

Which topical agent is safe to apply?

An older adult woman complains of foot pain from a corn.After assessing her feet,which intervention should the nurse implement to alleviate her discomfort safely?

Which of the following is a true statement about impaired skin integrity?

Which of the following patient(s)does the nurse identify as at risk for developing fungal infections?

The nurse determines the risk for a pressure ulcer in an older adult who is 6 feet tall and weighs 155 pounds.Which patient information should the nurse use in planning care to reduce this individual's risk for a pressure ulcer?

Which of the following is an important consideration about the skin of an older adult person?

The nurse identifies which of the following intervention(s)in the treatment of fungal infections?

Introduction to Healthy Aging

Gerontological Nursing History, Education, and Roles

Care Across the Continuum

Culture and Aging

Theories of Aging and Physical Changes

Social, Psychological, Spiritual, and Cognitive Aspects of Aging

Assessment and Documentation for Optimal Care

Safe Medication Use

Nutrition and Hydration

Elimination

Rest, Sleep, and Activity

Promoting Safety

Living With Chronic Illness

Pain and Comfort

Diseases Affecting Vision and Hearing

Metabolic Disorders

Bone and Joint Problems

Cardiovascular and Respiratory Disorders

Neurological Disorders

Cognitive Impairment

Mental Health

Economic and Legal Issues

Relationships, Roles, and Transitions

Loss, Death, and Palliative Care

Filters