Question 1

Which of the following statements is true about foot care for older adults with diabetes?

Accepted Answer

A)  A health care aide is qualified to care for the feet of a diabetic patient, including trimming the patient's nails. 
B)  Onychomycosis is eradicated quickly with antifungal creams or powders. 
C)  Toenails should be cut to give a smooth, rounded edge. 
D)  Tinea pedis is treated with topical application of antifungal powders. 
A)  A health care aide is qualified to care for the feet of a diabetic patient, including trimming the patient's nails. 
B)  Onychomycosis is eradicated quickly with antifungal creams or powders. 
C)  Toenails should be cut to give a smooth, rounded edge. 
D)  Tinea pedis is treated with topical application of antifungal powders. D

Question 2

Which skin lesion on an older adult should be evaluated promptly by a dermatologist?

Accepted Answer

A)  A circumscribed, raised area resembling a blob of brown wax 
B)  A multicoloured, raised lesion with an irregular border 
C)  A rough, scaly, pink to reddish-brown lesion 
D)  A brown spot on the skin with no raised area 
A)  A circumscribed, raised area resembling a blob of brown wax 
B)  A multicoloured, raised lesion with an irregular border 
C)  A rough, scaly, pink to reddish-brown lesion 
D)  A brown spot on the skin with no raised area B

Question 3

The nurse monitors for which of the following clinical indicators when an older adult complains of pruritus?

Accepted Answer

A)  Dry, flaky skin 
B)  Brown macule 
C)  Brownish skin 
D)  Regional edema 
A)  Dry, flaky skin 
B)  Brown macule 
C)  Brownish skin 
D)  Regional edema A

Question 4

Which nursing intervention is most likely to prevent the creation of an environment that is 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.

Question 5

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 staff and visitors to wear a mask of the respirator type. 
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 staff and visitors to wear a mask of the respirator type. 
C)  Use a hospital room that has negative airflow circulation. 
D)  Cover ruptured skin lesions with a nonabsorbent dressing.

Question 6

The nurse cares for an older male adult 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 application of sunscreen at his neighbourhood health fair. 
C)  Tell him to schedule all outdoor activities after 4 P.M. 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 application of sunscreen at his neighbourhood health fair. 
C)  Tell him to schedule all outdoor activities after 4 P.M. daily. 
D)  Instruct him to wear sun-protective clothing and a hat at all times.

Question 7

An older adult sleeps in a recliner with his cool, greyish-coloured feet on the floor. What should the nurse investigate to assess the vascular status of this older adult?

Accepted Answer

A)  Ability to stand during activities of daily living 
B)  Lateral ulcerations with brownish discoloration 
C)  Complaints of dull aching and peripheral edema 
D)  History of dyslipidemia and hypertension 
A)  Ability to stand during activities of daily living 
B)  Lateral ulcerations with brownish discoloration 
C)  Complaints of dull aching and peripheral edema 
D)  History of dyslipidemia and hypertension

Question 8

An older male adult has peripheral edema and brownish skin below the knees bilaterally. Which goal does the nurse use specifically in this older adult's plan of care, to manage his condition?

Accepted Answer

A)  Promote perfusion to the periphery. 
B)  Maintain dependent positioning. 
C)  Protect skin from ultraviolet rays. 
D)  Promote lower extremity compression. 
A)  Promote perfusion to the periphery. 
B)  Maintain dependent positioning. 
C)  Protect skin from ultraviolet rays. 
D)  Promote lower extremity compression.

Question 9

An older adult has a vitamin deficiency. Which of the following does the nurse provide to the older adult to supply the missing vitamin important for maintaining healthy skin and enhancing tissue repair?

Accepted Answer

A)  Carrot sticks 
B)  Non-fat milk 
C)  Orange slices 
D)  Unsalted nuts 
A)  Carrot sticks 
B)  Non-fat milk 
C)  Orange slices 
D)  Unsalted nuts

Question 10

An older adult female patient with mild peripheral vascular disease complains of foot pain from a corn. After assessing the patient's feet, which intervention should the nurse implement to safely alleviate her discomfort?

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 the 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 the toe with the corn to the other toes.

Question 11

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

Accepted Answer

A)  Generous amounts of soap should be used for cleansing. 
B)  Sweat glands increase in activity. 
C)  The skin becomes more vulnerable to damage. 
D)  The skin becomes darker in unexposed areas. 
A)  Generous amounts of soap should be used for cleansing. 
B)  Sweat glands increase in activity. 
C)  The skin becomes more vulnerable to damage. 
D)  The skin becomes darker in unexposed areas.

Question 12

Which of the following statements is true about impaired skin integrity?

Accepted Answer

A)  A stage III pressure ulcer can regress to stage II as the subcutaneous tissues regenerate. 
B)  Stasis ulcer is another term for pressure ulcer. 
C)  An unstageable wound presents with redness and blistering. 
D)  Anemia and poor nutritional status correlate with poor healing of pressure ulcers. 
A)  A stage III pressure ulcer can regress to stage II as the subcutaneous tissues regenerate. 
B)  Stasis ulcer is another term for pressure ulcer. 
C)  An unstageable wound presents with redness and blistering. 
D)  Anemia and poor nutritional status correlate with poor healing of pressure ulcers.

Question 13

A 70-year-old woman complains of dry skin and asks for advice. Which advice should the nurse offer to this older adult for improving her dry skin?

Accepted Answer

A)  Add oil to bath water to keep skin soft. 
B)  Keep bath water between 32.2°C and 39.0°C. 
C)  Move to a climate with lower humidity. 
D)  Dry the skin vigorously with a rough towel after bathing. 
A)  Add oil to bath water to keep skin soft. 
B)  Keep bath water between 32.2°C and 39.0°C. 
C)  Move to a climate with lower humidity. 
D)  Dry the skin vigorously with a rough towel after bathing.

Question 14

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

Accepted Answer

A)  Turn the patient at least once every hour. 
B)  Place a cushion between the patient's knees. 
C)  Keep the patient's skin clean and dry. 
D)  Use the Sims' position. 
A)  Turn the patient at least once every hour. 
B)  Place a cushion between the patient's knees. 
C)  Keep the patient's skin clean and dry. 
D)  Use the Sims' position.

Question 15

Which of the following topical agents is safe to apply?

Accepted Answer

A)  Corn starch, 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)  Zinc oxide ointment to an area of excoriation 
A)  Corn starch, 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)  Zinc oxide ointment to an area of excoriation

Exam 11: Promoting Healthy Skin and Feet

Which of the following statements is true about foot care for older adults with diabetes?

Which skin lesion on an older adult should be evaluated promptly by a dermatologist?

The nurse monitors for which of the following clinical indicators when an older adult complains of pruritus?

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

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

The nurse cares for an older male adult 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?

An older adult sleeps in a recliner with his cool, greyish-coloured feet on the floor. What should the nurse investigate to assess the vascular status of this older adult?

An older male adult has peripheral edema and brownish skin below the knees bilaterally. Which goal does the nurse use specifically in this older adult's plan of care, to manage his condition?

An older adult has a vitamin deficiency. Which of the following does the nurse provide to the older adult to supply the missing vitamin important for maintaining healthy skin and enhancing tissue repair?

An older adult female patient with mild peripheral vascular disease complains of foot pain from a corn. After assessing the patient's feet, which intervention should the nurse implement to safely alleviate her discomfort?

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

Which of the following statements is true about impaired skin integrity?

A 70-year-old woman complains of dry skin and asks for advice. Which advice should the nurse offer to this older adult for improving her dry skin?

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

Which of the following topical agents is safe to apply?

Introduction to Healthy Aging

Gerontological Nursing History, Education, and Roles

Communicating With Older Adults

Culture, Ethnicity, and Aging

Nursing Documentation for Optimal Care

Biological Theories of Aging and Physical Changes of Aging

Social, Psychological, Spiritual, and Cognitive Aspects of Aging

Nutritional Needs

Hydration and Continence

Rest, Sleep, and Activity

Maintaining Mobility and Environmental Safety

Assessment Tools in Gerontological Nursing

Safe Medication Use for Older Adults

Living With Chronic Illness

Pain and Comfort

Diabetes Mellitus

Bone and Joint Health

Visual and Auditory Changes

Cardiovascular and Respiratory Disorders

Cognitive Impairment

Economic and Legal Issues

Relationships, Roles, and Transitions

Mental Health and Wellness in Later Life

Loss, Grief, Dying, and Death in Later Life

Care Across the Continuum

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