A nurse assesses a nursing home resident's pressure ulcer to be a healing stage III. The primary reason reverse staging is never used is because:
a. even though all tissue layers are replaced as a wound heals, the healed skin is not as strong as it originally was.
b. not all tissue layers are replaced as a wound heals, and the healed skin is not as strong as it originally was.
c. reimbursement in nursing homes does not allow for reverse staging to be utilized.
d. the collagen layer is not replaced during wound healing.
Question 2An older person is admitted to the hospital with an exacerbation of congestive heart failure. The nurse notes that the patient complains of severe itching at night and has a red rash on her torso. The patient is diagnosed with scabies.
The patient asks the nurse, How did I get something like this? The best response by the nurse is:
a. Scabies is highly contagious and spreads easily through physical contact.
b. Scabies is commonly seen in older adults due to normal age-related changes in the skin.
c. Scabies is only seen in older adults who have multiple chronic illnesses.
d. Certain medications can make you more susceptible to contracting scabies.
Question 3A nurse is providing an educational session on vaccines to a group of older adults. The nurse is discussing the zoster vaccine (Zostavax). Which of the following information should the nurse include in the education?
a. Zostavax should only be given to individ-uals who have never had an episode of herpes zoster (HZ)
b. Zostavax is recommended for all individ-uals over age 60 that have no contraindi-cations to the vaccine
c. Zostavax should not be given to anyone with a chronic cardiac or respiratory con-dition
d. Zostavax will always prevent an individu-al from developing Herpes Zoster
Question 4An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)
a. tumors of the middle ear.
b. cerumen impaction.
c. infections of the external and middle ear.
d. age-related hearing impairment.
e. excessive and loud noise.
Question 5The nurse is most concerned by observing when assisting with an older client's bath:
a. A firm, irregularly-shaped, pink-colored nodule
b. A slightly raised multicolor lesion with an asymmetrical, irregular border
c. A pearly papule with prominent blood vessels
d. Rough, scaly, sandpaper-like patches that are slightly tender
Question 6An older person reports hearing whistling in both ears when no external sounds are present and is diagnosed with tinnitus. Which of the following are causes of tinnitus? (Select all that apply.)
a. Exposure to loud noises
b. Use of a hearing aid
c. Cerumen buildup
d. Side effects of medications
e. Age-related changes in the middle and inner ear
Question 7A 74-year-old client who has experienced a progressive loss of hearing acuity in recent years ob-tains a new hearing aid. Which of the following should be included in the nurse's teaching plan?
a. Many people find that hearing aids only help with certain types of hearing loss that are caused by previous noise exposure.
b. With the right hearing aid, you can ex-pect your hearing to be back to normal.
c. Hearing aids are covered by Medicare Part B.
d. Even though hearing aids will help you, they also bring challenges like distorted speech and amplified background noise.
Question 8An older patient asks a nurse, My doctor referred me to a hearing specialist who thinks that surgery for a cochlear implant may be beneficial for me. Can you tell me how one of those things works?
The nurse formulates a response based on the knowledge that:
a. a cochlear implant is permanent, surgical-ly-implanted hearing aid.
b. a cochlear implant speeds up the conduc-tion of sound to the auditory nerve.
c. a cochlear implant functions as an artificial auditory nerve.
d. a cochlear implant directly stimulates the auditory nerve.
Quick Reply
