Question 1

An older patient has a Braden Scale pressure ulcer risk score of 18. What interventions would be indicated by the nurse?

Accepted Answer

A)  Provide routine skin care with soap and water daily. 
B)  Inspect skin when repositioning, toileting, and assisting with ADLs. 
C)  Avoid the use of pillows and foam slabs between bony prominences. 
D)  Provide routine activities, score is not concerning. 
A)  Provide routine skin care with soap and water daily. 
B)  Inspect skin when repositioning, toileting, and assisting with ADLs. 
C)  Avoid the use of pillows and foam slabs between bony prominences. 
D)  Provide routine activities, score is not concerning.

Question 2

An older patient is recovering from abdominal surgery. Which interventions will the nurse consider when planning care for this patient?

Accepted Answer

A)  The wound should be kept covered with an antimicrobial dressing. 
B)  The wound dressing should be changed daily and kept dry. 
C)  There is a need to keep the wound edges taped. 
D)  Skin near the wound needs to be massaged to increase blood flow. 
A)  The wound should be kept covered with an antimicrobial dressing. 
B)  The wound dressing should be changed daily and kept dry. 
C)  There is a need to keep the wound edges taped. 
D)  Skin near the wound needs to be massaged to increase blood flow.

Question 3

The nurse is preparing to cleanse an older patient's pressure injury. Which techniques should the nurse use to perform this action? Select all that apply.

Accepted Answer

A)  Pour saline over the wound using a saline-filled syringe. 
B)  Apply saline-soaked gauze over the wound. 
C)  Apply hydrogen peroxide over the wound. 
D)  Place gauze pads soaked with Dakin's solution on the wound. 
E)  Apply dry gauze pads over the wound and saturate with sterile water. 
A)  Pour saline over the wound using a saline-filled syringe. 
B)  Apply saline-soaked gauze over the wound. 
C)  Apply hydrogen peroxide over the wound. 
D)  Place gauze pads soaked with Dakin's solution on the wound. 
E)  Apply dry gauze pads over the wound and saturate with sterile water.

Question 4

The home-care nurse determines that their patient is at risk for further injury due to normal aging sensation loss when they state the following:

Accepted Answer

A)  "I have this large red mark on my arm and I think it occurred yesterday from cooking." 
B)  "I can't remember what I ate for lunch yesterday." 
C)  "I got a small cut on my arm from a zipper when I was getting dressed yesterday." 
D)  "I have some discolorations on my arm, but they have been there for months." 
A)  "I have this large red mark on my arm and I think it occurred yesterday from cooking." 
B)  "I can't remember what I ate for lunch yesterday." 
C)  "I got a small cut on my arm from a zipper when I was getting dressed yesterday." 
D)  "I have some discolorations on my arm, but they have been there for months."

Question 5

The nurse is caring for an older patient who has a healed, sacral pressure ulcer. What would the nurse include in teaching about this new tissue growth?

Accepted Answer

A)  "Your sacral area will heal faster if reinjured." 
B)  "Your skin will break down faster if your sacrum is reinjured." 
C)  "You may have a loss of feeling in the old, pressure ulcer area." 
D)  "You are more at risk for infection in the sacral area." 
A)  "Your sacral area will heal faster if reinjured." 
B)  "Your skin will break down faster if your sacrum is reinjured." 
C)  "You may have a loss of feeling in the old, pressure ulcer area." 
D)  "You are more at risk for infection in the sacral area."

An older patient has a Braden Scale pressure ulcer risk score of 18. What interventions would be indicated by the nurse?

An older patient is recovering from abdominal surgery. Which interventions will the nurse consider when planning care for this patient?

The nurse is preparing to cleanse an older patient's pressure injury. Which techniques should the nurse use to perform this action? Select all that apply.

The home-care nurse determines that their patient is at risk for further injury due to normal aging sensation loss when they state the following:

The nurse is caring for an older patient who has a healed, sacral pressure ulcer. What would the nurse include in teaching about this new tissue growth?

Principles of Gerontology

Contemporary Gerontological Nursing

Principles of Geriatrics

Cultural Diversity

Nutrition and Aging

Pharmacology and Older Adults

Psychological and Cognitive Function

Sleep and the Older Adult

Pain Management

Violence and Elder Mistreatment

Care at the End of Life

The Mouth and Oral Cavity

Sensation: Hearing, Vision, Taste, Touch, and Smell

The Cardiovascular System

The Respiratory System

The Genitourinary and Renal Systems

The Musculoskeletal System

The Endocrine System

The Gastrointestinal System

The Hematologic System

The Neurologic System

The Immune System

Caring for Frail Elders With Comorbidities

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Exam 12: The Integument

An older patient has a Braden Scale pressure ulcer risk score of 18. What interventions would be indicated by the nurse?

An older patient is recovering from abdominal surgery. Which interventions will the nurse consider when planning care for this patient?

The nurse is preparing to cleanse an older patient's pressure injury. Which techniques should the nurse use to perform this action? Select all that apply.

The home-care nurse determines that their patient is at risk for further injury due to normal aging sensation loss when they state the following:

The nurse is caring for an older patient who has a healed, sacral pressure ulcer. What would the nurse include in teaching about this new tissue growth?

Principles of Gerontology

Contemporary Gerontological Nursing

Principles of Geriatrics

Cultural Diversity

Nutrition and Aging

Pharmacology and Older Adults

Psychological and Cognitive Function

Sleep and the Older Adult

Pain Management

Violence and Elder Mistreatment

Care at the End of Life

The Mouth and Oral Cavity

Sensation: Hearing, Vision, Taste, Touch, and Smell

The Cardiovascular System

The Respiratory System

The Genitourinary and Renal Systems

The Musculoskeletal System

The Endocrine System

The Gastrointestinal System

The Hematologic System

The Neurologic System

The Immune System

Caring for Frail Elders With Comorbidities

Filters