Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 28- Integumentary Function
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | 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. | |
| Ans: | C | |
| Feedback: | ||
| With hyperemia the redness of the skin can disappear quickly if pressure is removed. Vigilon is a high moisture content dressing appropriate for open lesion. The skin should be kept clean and dry using lotions to keep the skin soft. | ||
| Origin: Chapter 28- Integumentary Function, 2
Chapter: 28 Client Needs: D4 Cognitive Level: Application Difficulty: Easy Integrated Process: Nursing process Objective: 3 Page and Header: 392, Box 28-1 |
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| 2. | 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 | |
| Ans: | D | |
| Feedback: | ||
| With stage 4 the subcutaneous tissue is lost, exposing muscle, bone, or both. Eschar must be removed to fully stage and treat a pressure ulcer. | ||
| Origin: Chapter 28- Integumentary Function, 3
Chapter: 28 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 3 Page and Header: 391, Vascular Lesions |
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| 3. | 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. | |
| Ans: | A | |
| Feedback: | ||
| Sitting with legs crossed should be avoided as it increases stasis of blood. Venous return can be enhanced by elevating the legs several times a day. Elastic support stockings may be prescribed. Obesity compounds the age-related changes of weakened vein walls and reduced ability to respond to increased venous pressure. | ||
| Origin: Chapter 28- Integumentary Function, 4
Chapter: 28 Client Needs: D4 Cognitive Level: Knowledge Difficulty: Easy Integrated Process: Teaching/Learning Objective: 3 Page and Header: 390, Keratosis |
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| 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. | |
| Ans: | A | |
| Feedback: | ||
| Keratoses are small, light-colored lesions, usually gray or brown with a cutaneous horn with a slightly reddened and swollen base. In contrast, seborrheic keratoses are dark, wartlike projections that are as small as a pinhead or as large as a quarter. | ||
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.