A community health nurse is providing dressing changes for an older adult woman who has a chronic venous ulcer. When choosing a wound management strategy for this patient, what principle should guide the nurse's care regimen?
A) Dead tissue should remain undisturbed and allowed to naturally resorb.
B) Topical antibiotics should be kept in contact with the wound bed at all times.
C) Wound healing will occur most quickly if the wound bed is kept as moist as possible.
D) The wound exudate should be promptly removed from the wound bed.
Question 2The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction?
a. sit calmly in a chair next to the person and ask questions in a non-threatening manner
b. ask loud, direct questions
c. have the person write down the information on the chart
d. ask the family member instead of the person
Question 3When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of:
a) teacher
b) manager
c) research consumer
d) advocate
Question 4Which of the following levels of care would be most appropriate for a healthy 84 year old man who can take care of himself, but wants to live in a place where he can socialize and have help available if needed?
a) a group foster home
b) a transitional care unit
c) an independent unit in a senior living complex
d) assisted living in a nursing home
Question 5The family of an older patient in a nursing home has contacted the ombudsmen program. What will the ombudsman do for the patient?
1. Investigate the complaint.
2. Deter the patient from filing a lawsuit.
3. Pursue a lawsuit on behalf of the patient.
4. Review the patient's record and determine if appropriate care has been given.
Question 6A significant result of changes in the respiratory system with advanced age is:
a. lower carbon dioxide levels in the bloodstream
b. less useful oxygen available with each breath
c. more efficient gas exchange at the alveolar level
d. the ability to hold one's breath longer
Question 7A 56-year-old woman with severe varicose veins has opted for venous ablation, and the nurse is providing patient education before the scheduled procedure. What instructions should the nurse provide to this patient?
A) Try to limit your activity for the first 10 days to 2 weeks to prevent reoccurrence of your varicose veins.
B) You might experience some pain after the procedure, but this will be managed with ice packs rather than medications.
C) If you notice any bruising in the area, make sure to let someone know because that could be a sign of a serious complication.
D) We'll help you get walking as soon as you sedation has worn off, and you'll continue to gradually increase your activity level.
Question 8The nurse is supportive of an elderly client's decision to stop further chemotherapy treatments after diagnostic testing shows a recurrence of the malignancy. The basic ethical principle involved is
A) justice.
B) beneficence.
C) autonomy.
D) nondisclosure.
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