Nur 312- Skin Health (CP Question)
The adult child of an older adult client asks what can be done to prevent the skin from wrinkling like the parent has over the face and upper chest. What should the nurse respond to the adult child?
"Apply a sunscreen before going out in the sun."
A gerontological nurse is assessing the skin of an older adult. The client asks, "What can I do to treat wrinkles?" Which will the nurse recommend?
Moisturize your skin regularly.
The nurse is providing care for an older adult client at risk for a pressure injury due to immobility. Which intervention would the nurse include in the client's plan of care to address a hyperemic area?
Off-load the area under pressure.
A nurse in a long-term care facility teaches unlicensed assistive personnel (UAP) to assist several older adult clients with bathing each day. Which intervention should the nurse include in the teaching?
Dry skin thoroughly, particularly between the toes and other areas where skin touches.
An older adult client's stasis ulcer has healed. What should the nurse instruct the client to do to prevent the development of future ulcers?
Elevate the legs several times per day.
During a home visit, a 74-year-old client expresses frustration with the number and size of seborrheic keratoses on the neck and trunk. Which response by the nurse would be appropriate?
"Even though these usually do not pose a danger to your health, we can still investigate getting them
The nurse reviews diet teaching with an older adult client recovering from a pressure injury. Which client statement indicates that additional teaching is required?
"I should avoid eating meat, poultry, and fish."
What instructions should the nurse provide regarding skin hygiene and the primary cause of pruritus with a group of older adult clients?
"It is usually sufficient to shower or tub bathe every 3 or 4 days with sponge baths in between."
An older client asks about small wart-like areas that are appearing on various parts of the body. What should the nurse respond about these skin changes?
"They should be evaluated to make sure they aren't cancerous lesions."
A nurse participating in a health fair sponsored by a local seniors' center discusses healthy skin and aging. Which teaching point should the nurse include?
"You should limit your daily sun exposure and keep your skin protected from direct sunlight for the remainder."
An older adult client has an open blister on the left ischial tuberosity. What stage of pressure injury should the nurse assign to this finding?
2
The nurse notes that an older adult client has a 2 cm x 2 cm area of redness at the top of the buttocks after sitting in a chair for 30 minutes. What action will the nurse take?
Change the client's position.
The nurse is assessing a trochanter pressure injury that extends below the subcutaneous tissue. Which intervention will the nurse implement?
Rotate the client avoiding this pressure area
The son of a nursing home client asks the nurse, "Why are you making my mother get out of bed and do simple morning exercises when she would rather sleep?" When responding to the client's son, which reason would be the best for the nurse to incorporate into the response?
The exercise is necessary for promoting circulation.
A nurse on an acute care unit becomes concerned by the increasing incidence of pressure injuries among older adult clients. Which measure will the nurses on the unit prioritize to prevent the formation of pressure injuries?
frequent repositioning of immobilized clients
