WALDEN NRNP 6540 FINAL EXAM QUESTIONS AND ANSWERS GRADED A+

WALDEN NRNP 6540 FINAL EXAM
QUESTIONS AND ANSWERS GRADED A+




1. Mrs. .Williams .is .76 .years .old .and .comes .in .to .have .a .wound .checked .on .her
right .leg. .She .fell .a .month .ago .and .the .wound .has .not .healed. .She .is .concerned
.that .something .is .wrong. .The .nurse .practitioner .examines .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 .t


XC .1hat .right .up.
4. I .will .order .an .antibiotic .to .prevent .infection. .- .ANSWER- .1. .Answer:
1 .Page: .96
.




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,1.
Skin .renewal .turnover .time .increases .to .approximately .87 .days .in .older .adults,
.compared .with .20 .days .during .youth.


2.
The .perceived .extended .healing .time .is .not .related .to .diet.
. 3.
This .is .false .hope, .as .there .is .no .medication .that .will .heal .this .wound .quickly.
. 4.
Prophylactic .antibiotics .are .not .appropriate .when .there .are .no .signs .or .symptoms
.of .infection.




2. .The .nurse .practitioner .is .conducting .patient .rounds .in .a .long-term .care .facility.
.As .she .talks .with .Mrs. .Jones, .she .notices .that .her .arms .and .elbows .are .excoriated

.and .the .skin .is .shearing. .The .nurse .practitioner .explains .to .the .staff .that .Mrs. .Jones

.needs .frequent .assessment .of .her .skin .and .protection .provided .to .prevent .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. .- .ANSWER- .2. .Answer:
2 .Page: .96
.




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1.
.


Lack .of .activity .alone .does .not .cause .skin .breakdown.

,2.
Fat .is .redistributed .to .the .abdomen .and .thighs, .leaving .bony .surfaces, .such .as .the
.face, .hands, .and .sacrum, .exposed .to .potential .injury, .especially .skin .tears .from

.shearing, .friction .forces .and .pressure .ulcer .development.


3.
Although .losing .weight .may .be .a .risk .factor .for .falling, .it .is .not .directly .related .to
.skin .breakdown.


4.
There .is .no .evidence .that .she .is .picking .at .herself, .as .there .is .nothing .reported
.anywhere .else .on .her .arms.




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 .people .bruise .easily .due .to .their .fragile .blood .vessels. .The .skin .lacerations

.happen .because .he .has .thin .skin. .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. .- .ANSWER- .3. .Answer: .2
. Page: .97




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1.
.


Markings .on .the .skin .may .be .signs .of .aging, .a .disease, .or .maltreatment.

, 2.
Poorly .healing .wounds .or .chronic .pressure .ulcers .may .signal .a .problem .not .only
.with .the .patient .but .with .the .caregiver's .ability .to .provide .adequate .care. .Welts,

.lacerations, .burns, .and .distinctive .markings .may .indicate .a .need .for .intervention.


3.
This .is .a .result .of .the .nurse .practitioner .addressing .it .further .rather .than .the .reason
.for .addressing .it.


4.
A .professional .cannot .assume .abuse .without .good .reason.


4. The .nurse .practitioner .assesses .a .patient's .skin .and .finds .an .infectious .lesion
.on .the .lower .leg. .The .lesion .is .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. .- .ANSWER- .4. .Answer: .1
. Page: .97




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1.
.


Secondary .lesions .(infections) .arise .from .changes .to .the .primary .lesion.
. 2.
Secondary .lesions .are .not .necessarily .the .result .of .an .underlying .disease.
. 3.