Deck 11: Promoting Healthy Skin and Feet

Question 1

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

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

Answer 1

Dry, flaky skin

Question 2

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?

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

Answer 2

Promote lower extremity compression.

Question 3

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?

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

Answer 3

Orange slices

Question 4

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

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 5

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

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.

Question 6

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?

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 7

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

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 8

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?

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 9

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

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 10

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?

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 11

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

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

Question 12

Which of the following topical agents is safe to apply?

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

Question 13

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?

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 14

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

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 15

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?

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.