Question 1

Which of the following are signs of Vincent angina? (Select all that apply.)

Accepted Answer

Enlargement of the cervical lymph nodes,difficulty swallowing,and mouth ulcers in a malnourished person are indications of Vincent angina.

Question 2

On the admission assessment of a resident to a long-term care facility, the nurse notes a painless area on the patient's coccyx that has partial skin loss. The nurse would record this as a stage _____ pressure ulcer.

Accepted Answer

The answer of On the admission assessment of a resident...

Question 3

The nurse instructs a group of older adults on how to maintain intact skin. What would be included in the teaching plan? (Select all that apply.)

Accepted Answer

Frequent changes in body position,changing damp pads and briefs,and patting the skin dry will promote skin integrity. The "donut" causes pressure to surrounding area when used. Checking the feet routinely will alert the older adult to a potential problem but will not maintain skin integrity. Changing socks daily or applying lotion to the feet will aid in maintaining skin integrity.

Question 4

What are causes of xerostomia in the older adult? (Select all that apply.)

Accepted Answer

Reduction of saliva,inadequate fluid intake,and fluid loss through the use of diuretics can cause xerostomia.

Question 5

A dark-complexioned African American has a suspected skin breakdown over the trochanter. What would be appropriate measures for the nurse to implement during the assessment? (Select all that apply.)

Accepted Answer

Halogen lights make a stage I area appear blue in a dark-skinned person. There is usually a local area of heat and edema. Stages I and II pressure ulcers are painless. Testing for blanching when erythema cannot be assessed is useless.

Question 6

What interventions by the nurse will aid in maintaining skin integrity in the long-term care facility residents? (Select all that apply.)

Accepted Answer

Waste products and soap are irritating to the skin and must be removed promptly. Rest periods during the day will relieve pressure. Exposure to a hot,dry environment and frequent pericare to a resident who is not incontinent is going to make the skin more prone to breakdown.

Question 7

Which long-term care residents would benefit from a referral to a podiatrist? (Select all that apply.)

Accepted Answer

Persons with diabetes or circulatory disorders should have foot care performed by a specialist.

Quiz 17: Care of Aging Skin and Mucous Membranes