Exam (elaborations)
eliopoulos gerontological (Chapter 27 - Skin Health) questions and answers
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eliopoulos gerontological (Chapter 27 - Skin Health) questions and answers
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eliopoulos gerontological (Chapter 27 -Skin Health) questions and answers
The nurse prevents and treats pressure ulcers in the at-risk population of immobile
elders. Which of the following interventions will best treat a stage 1 pressure ulcer?
A) Clean with normal saline three times a day.
B) Cover with a hydrogel sheet like Vigilon.
C) Off-load the area under pressure.
D) Thoroughly clean and irrigate the lesion. - Answers -C) Off-load the area under
pressure.C
The nurse assists in the surgical removal of eschar from a trochanter pressure ulcer
revealing the bone and tendons. The nurse correctly stages this ulcer as what stage?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - Answers -D) Stage 4
The nurse describes various integumentary conditions to a group of older adults. Which
of the following descriptions best defines actinic keratoses?
A) Gray or brown raised lesions located on sun exposed areas of the skin.
B) Irregular shaped, irregular colored lesions found in the scalp of older adults.
C) These lesions are dark, wartlike projections on various parts of their bodies.
D) When located on the leg or abdomen, the lesions are dry and the size of a penny. -
Answers -A) Gray or brown raised lesions located on sun exposed areas of the skin.
The nurse teaches a 65-year-old obese client who works as a greeter in a store
regarding care of the client's varicose veins. Which of the following statements, if made
by the client, indicates the need for further teaching?
A) I can sit with my legs crossed at the knees..
B) I elevate my legs on breaks and in the evening
C) I have joined weight watchers to help me lose my excess weight.
D) I will get some support stockings from the medical supply company. - Answers -A) I
can sit with my legs crossed at the knees..
The nurse assesses a group of older adults for various integumentary conditions. Which
of the following descriptions correctly identifies a seborrheic keratosis?
A) Gray or brown and located on sun exposed areas of the skin.
B) Irregular shaped, irregular colored lesion.
C) Redness and edema around the base of a lesion.
, D) When located in the armpit, the lesion is dark and oily. - Answers -D) When located
in the armpit, the lesion is dark and oily.
Which of the following aspects of the integumentary system would a gerontological
nurse expect to increase, rather than decrease, with the age of clients?
A) Pigmentation
B) Dermal thickness
C) Coarseness of collagen
D) Size of hair bulbs - Answers -C) Coarseness of collagen
The nurse teaches a group of older adults about the benefits of health promotion
activities specific to the integumentary system. Which of the following statements by a
participant best reflects a sound understanding of health promotion of the skin?
A) "I make sure that I take a bath each evening to keep my skin good and clean."
B) "I have the best face cream, it removes wrinkles and lines."
C) "I know that any mole that is brown or raised can be sign of skin cancer."
D) "I learned that moles that are irregular in shape can be associated with melanoma." -
Answers -D) "I learned that moles that are irregular in shape can be associated with
melanoma."
The nurse observes an 83-year-old resident of a nursing home scratching repeatedly
over the last several days. The resident states, "I'm so itchy these days it drives me
crazy." Which of the following measures should the nurse prioritize?
A) Referral to the resident's physician for oral corticosteroids.
B) Increasing the frequency of the residents bathing schedule.
C) Closer monitoring for a better control of the resident's blood pressure.
D) Dietary changes and application of zinc oxide - Answers -D) Dietary changes and
application of zinc oxide
During a nurse's home visit, a 74-year-old woman has expressed her frustration with the
number and size of seborrheic keratoses on her neck and trunk. How can the nurse
most appropriately respond to the woman's concern?
A) "Even though these usually don't pose a danger to your health, we can still
investigate getting them removed."
B) "Your physician will likely want to biopsy each of these because they are usually
indicative of skin cancer."
C) "These lesions are normally benign, so there is likely no need for follow-up."
D) "These are quite rare so it's important that you visit your primary care provider as
soon as possible." - Answers -A) "Even though these usually don't pose a danger to
your health, we can still investigate getting them removed."
The nurse assesses clients to determine the risk factors to integumentary health. Which
of the following older adults faces the most acute threat to his or her health?
A) A 66-year-old retired farmer who has been diagnosed with melanoma following a
lifetime of sun exposure.
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