Deck 12: Promoting Healthy Skin and Feet

Question 1

Which of the following is a true statement about impaired skin integrity?

A) Stage III pressure ulcer cannot regress to stage II because the subcutaneous tissues regenerate.
B) Stasis ulcer is another term for pressure ulcer.
C) Muscle and fat cannot regenerate.
D) Weight reduction is recommended to help prevent pressure ulcers.

Answer 1

Muscle and fat cannot regenerate.

Question 2

Which topical agent is safe to apply?

A) Cornstarch to absorb moisture in the groin area
B) Betadine to disinfect a healing pressure ulcer
C) An over-the-counter preparation to dissolve a corn
D) Light mineral oil to moisten skin after bathing

Answer 2

Light mineral oil to moisten skin after bathing

Question 3

Which of the following is a true statement about skin care for older adults?

A) A licensed practical nurse is qualified to care for the feet of a patient with diabetes.
B) Onychomycosis is quickly eradicated with antifungal creams or powders.
C) A ram's-horn nail should be cut to give a smooth, rounded edge.
D) Maintaining oral hydration may reduce the incidence of xerosis.

Answer 3

Maintaining oral hydration may reduce the incidence of xerosis.

Question 4

An older adult woman complains of foot pain from a corn.After assessing her feet,which intervention should the nurse implement to alleviate her discomfort safely?

A) Cut out an oval corn pad to make a U shape.
B) Use a corn pad slightly larger than the corn.
C) Gently remove the corn with a sterile razor blade.
D) Tape her toe with the corn to the other toes.

Question 5

A dermatologist should promptly evaluate which one of the following skin lesions?

A) Circumscribed, raised area resembling a blob of brown wax
B) Multicolored raised lesion with a fuzzy border
C) Bright red, glazed area with satellite lesions around it
D) Brown spot on the skin with no raised area

Question 6

Which of the following is an important consideration about the skin of an older adult person?

A) Generous amounts of soap should be used for cleansing.
B) Sweat gland activity increases.
C) Skin becomes more vulnerable to damage.
D) Skin becomes darker in unexposed areas.

Question 7

Which nursing intervention is most likely to prevent the creation of an environment conducive to fungal growth?

A) Provide oral care with soft-bristled brush.
B) Apply nystatin powder to reddened tissue.
C) Use mild skin cleansing agents and blot dry.
D) Apply gauze soaked with antifungal lotion.

Question 8

Although intact skin effectively protects an individual,it functions within physiological limits.Which qualities of healthy skin work synergistically within these limits to absorb,cushion against,deflect,or neutralize potentially harmful forces,as well as protect against potentially harmful substances that might impair skin integrity?

A) Strength
B) Pliability
C) Location
D) Durability
E) Moistness
F)Pigmentation

Question 9

The nurse is conducting an admission assessment on an older adult and notes a small lesion with a multicolor appearance.Which assessment approach should the nurse use?

A) Braden Scale
B) Wound staging
C) ABCD (asymmetry, border, color, diameter) rule
D) Pressure ulcer scale for healing (PUSH) tool

Question 10

Which infection-control practice should the nurse implement when caring for an older adult who has active herpes zoster?

A) Wear a face shield and gown for all patient contact.
B) Instruct the staff and visitors to wear a type of respirator mask.
C) Use a hospital room that has negative airflow circulation.
D) Cover ruptured skin lesions with a nonabsorbent dressing.

Question 11

The nurse determines the risk for a pressure ulcer in an older adult who is 6 feet tall and weighs 155 pounds.Which patient information should the nurse use in planning care to reduce this individual's risk for a pressure ulcer?

A) Osteoarthritis of neck
B) Dry mucous membranes
C) Prealbumin level 7 mg/dl
D) Fasting glucose 140 mg/dl
E) Serum sodium 135 mEq/dl
F)Uses food stamps to get food

Question 12

The nurse identifies which of the following intervention(s)in the treatment of fungal infections?

A) Eliminate the conditions that created the problem.
B) Lubricate affected area daily with moisturizing lotion.
C) Thoroughly clean and dry skin daily.
D) Use an antibacterial cleanser daily.
E) Apply miconazole (Micatin)as directed.

Question 13

A nurse will be conducting an educational session on preventing skin cancer at a local senior citizens center.Which should the nurse include in the session?

A) Squamous cell cancer may appear similar to a wart.
B) Basal cell carcinoma is more common in women.
C) Actinic keratosis begins as a pearly papule.
D) Melanoma is characterized by rough, scaly patches.

Question 14

The nurse monitors for which clinical indicator when the older adult complains of pruritus?

A) Coarse skin
B) Brown macule
C) Brownish skin
D) Regional edema

Question 15

An older adult is vitamin deficient.Which of the following does the nurse offer to the older adult to provide the important missing vitamin for maintaining healthy skin and enhancing tissue repair?

A) Carrot sticks
B) Nonfat milk
C) Orange slices
D) Unsalted nuts

Question 16

The nurse cares for an older man who has a malignant melanoma.Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?

A) Place posters about sunscreen in the halls of his apartment building.
B) Promote the application of a sunscreen at his neighborhood health fair.
C) Tell him to schedule all outdoor activities after 4 PM daily.
D) Instruct him to wear sun-protective clothing and a hat at all times.

Question 17

An older patient complains of dry skin and asks for advice.Which advice should the nurse offer for improving dry skin?

A) Add oil to the bath water to keep skin soft.
B) Use tepid bath water.
C) Move to a climate with lower humidity.
D) Vigorously dry skin with a rough towel after bathing.

Question 18

Which of the following patient(s)does the nurse identify as at risk for developing fungal infections?

A) Obesity
B) Multiple sclerosis
C) Impaired mental status
D) Incontinent
E) Bedridden

Question 19

The nurse plans care to protect the skin covering an older adult's greater trochanter.Which of the following interventions is the nurse's priority when the older adult is positioned on the side?

A) Implement a turning schedule.
B) Place a cushion between the knees.
C) Keep the skin clean and dry.
D) Use the Sims' position.