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1. Mrs. Williams is 76 years old and comes in to have 1. Wound healing
for olda wound checked on her right leg. She fell a month er people
may take up to ago and the wound has not healed. She is concerned
four times longer than it that something is wrong. The nurse
practitioner ex- does for younger people.
amines the wound and sees that it has been cleaned
properly and has no signs of infection. The edges are
approximated, but the skin around the wound is red
and tender to touch. The best response regarding Mrs.
Williams' concern is:
1. Wound healing for older people may take up to four times longer
than it does for younger people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine that would
have healed that right up. 4. I will order an antibiotic to prevent
infection.
2. The nurse practitioner is conducting patient rounds in 2. Fat has
redistributed to a long-term care facility. As she talks with Mrs. Jones,
the abdomen and thighs, she notices that her arms and elbows are
excoriat- leaving bony surfaces in ed and the skin is shearing. The nurse
practitioner areas such as the face, explains to the staff that Mrs. Jones
needs frequent hands, and sacrum. This assessment of her skin and
protection provided to pre- can result in injury. vent skin breakdown
because:
1. Her lack of activity causes the skin to tear.
, 2. Fat has redistributed to the abdomen and thighs, leaving bony
surfaces in areas such as the face, hands, and sacrum. This can result
in injury.
3. She has lost weight and is in jeopardy of falling.
4. She picks at herself and causes skin breakdown
3. Mr. James is 91 years old. His daughter notices that he has bruises and
lacerations on his arms and reports
this to the nurse practitioner, who tells her that older 2. Bruises and
lacerations people bruise easily due to their fragile blood vessels. can
indicate inadequate The skin lacerations happen because he has thin
skin. care. Even so, the nurse practitioner assures the daughter that she
will investigate further to ensure that he is getting proper care. She
says this because she understands that:
1. These markings on the patient's skin are part of aging skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused.
4. The nurse practitioner assesses a patient's skin and 1. Arises from
changes to a finds an infectious lesion on the lower leg. The lesion is
primary lesion.
considered a secondary lesion. The nurse practitioner explains
that a secondary lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging.
, 5. Ms. Rose, 88 years old, comes to the nurse practitioner 3. Has this
growth with a complaint about a growth on her hand. She changed,
bled, or is it wants to have a biopsy done. The nurse practitioner
painful? asks the following question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings?
6. A 60-year-old male enters the burn center for triage 3. First and
second degree
and treatment due to a burn he received at a campfire. .4. Plan a
His left arm has an area that is erythematous and family
painful, and another area has a blister. What does the meeting with
nurse practitioner record as the degree of burn? the patient to
1. First degree discuss
2. Second degree benefits of
3. First and second degree his smoking
4. Second and third degree cessation.
7. The nurse practitioner is concerned with primary 1. Review home
prevention strategies. How can the nurse practitioner fire safety
implement primary prevention strategies for an 80- protocols,
year-old male patient who smokes? including the
1. Review home fire safety protocols, including the proper use of
proper use of smoke alarms, and discuss smoking smoke alarms,
cessation. and discuss
2. Inform him that if he does not stop smoking, the smoking
nurse practitioner cannot see him again. cessation.
3. Have a conference with his family about his
smoking