The nurse provides a seminar on the impact of the sun on the skin with a group of older community members. Which statement indicates that additional teaching is necessary?
1. Sunscreen is important to wear during all daytime hours.
2. The sun should be avoided between the peak hours of 10 a.m. and 4 p.m.
3. African Americans can experience sun damage despite the dark skin tones.
4. The melanocytes in the subcutaneous tissue protect the skin from sun damage.
Question 2The nurse is preparing to cleanse an older patient's abdominal wound. Which techniques should the nurse use to perform this action? Standard Text: Select all that apply.
1. Pour saline over the wound.
2. Apply saline-soaked gauze over the wound.
3. Squeeze a saline-filled syringe over the wound.
4. Place gauze pads soaked with hydrogen peroxide on the wound.
5. Apply dry gauze pads over the wound and saturate with sterile water.
Question 3A 75-year-old client who is dying from liver disease tells the nurse that he is concerned about going home and living on his own. He is independent in his care at present and does not want to see this end.
He expresses his fear of dying alone and losing control of his body functions. The nurse determines that this client's concerns are
A) common fears and concerns of the dying patient.
B) signs of depression.
C) unrealistic fears because the client shows no symptoms at present.
D) appropriate to get an order for hospice care.
Question 4Which over-the-counter skin preparations should the nurse instruct an older patient to use with caution? Standard Text: Select all that apply.
1. Sunblock
2. Super-fatted soaps
3. Emollients that keep the skin moist
4. Steroid-based ointments and creams
5. Topical lotion with an antihistamine
Question 5After 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? Standard Text: Select all that apply. 1. Diagnosis of dehydration
2. Hemoglobin level 9 mg/dL
3. Treatment for chronic renal failure
4. Serum albumin level below normal
5. Loss of 20 pounds over the last 3 months
Question 6The nurse is discussing hospice care with the family of a 68-year-old man dying of cancer. The wife of the client states that she is worried that Medicare will stop payments if the client lives longer than 6 months.
The nurse can support the wife by explaining
A) Medicare does not limit the hospice benefit.
B) the doctor can best explain the role of hospice.
C) the finance office could answer that question.
D) we do not know if the client will live past 6 months.
Question 7The nurse is caring for an older patient who previously had a sacral pressure ulcer that has completely healed. What does the nurse recognize as a characteristic of the previously healed pressure ulcer?
1. Heal faster if reinjured
2. Break down faster if reinjured
3. Have no sensation in the injured area
4. Be at risk for infection even with intact skin
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