Exam 12: The Integument

An older patient has a subnormal body temperature and an infection. How does the nurse best describe this phenomenon?

After an assessment the nurse is concerned that an older patient is at risk for pressure ulcer development because of the current nutritional status. What nutritional factors did the nurse assess in the patient? Select all that apply.

The nurse provides a seminar on the impact of the sun on the skin with a group of older community members. Which statement indicates the older clients understood the education?

The nurse is planning care for an older patient with pneumonia and a stage II pressure ulcer. Which nursing diagnosis would have the greatest priority for this patient's care?

An older patient is recovering from surgery to repair a fractured hip. What interventions will the nurse use to prevent the development of a pressure ulcer in this patient? Select all that apply.

The nurse is treating a skin tear on an older patient's lower leg. Which dietary selection contains ingredients that will be most favorable to wound healing for this patient?

The nurse is caring for an older patient diagnosed with melanoma of the nail. What might the nurse find during the physical assessment? Select correct answer.

The nurse is performing a skin assessment on an older African American patient. Which findings would be considered normal for this patient? Select all that apply.

An older patient has a stage III pressure ulcer. Which treatment would the nurse expect the physician to order for the patient's wound?

The nurse is caring for an older patient with a stage II pressure ulcer. The nurse suspects this stage of wound will likely need to be cleaned with:

An older patient requests a small, inflated donut to sit on to relieve pressure. What response by the nurse is appropriate?

The nurse is preparing discharge instructions for an older patient. If the patient is prescribed Ibuprofen, what should the nurse specifically educate the patient about? Select correct answer.

The daughter of an older patient sees a reddened area on the patient's coccyx and wants to massage the area to improve circulation. What response by the nurse is indicated?

The nurse notes a small, indurated, scaled spot on the upper chest of an older patient. The nurse would suspect the physician to diagnose this condition as:

An older patient recently diagnosed with skin cancer does not understand why the disease developed since sunbathing has always been avoided. How should the nurse respond to this patient?

Which actions would the nurse take to prevent skin tears on an older patient with friable skin? Select all that apply.

An older patient complains about increasing dry skin. What should the nurse explain to the patient about this skin problem? Select all that apply.

The nurse is assessing an older patient's stage III pressure ulcer. What would be indicative of proper wound healing?

The nurse is teaching assisted living center residents about over-the-counter skin preparations. Which should be used with caution in an older patient? Select all that apply.

What instruction should the nurse provide to a nursing assistant who is assigned to care for an older patient with a stage I pressure injury on the right heel?