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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 that right up.
4. I will order an antibiotic to prevent infection. - 🧠 ANSWER ✔✔1. Wound
healing for older people may take up to four times longer than it does for
younger people.
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. 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.
, 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 ✔✔2. Bruises and lacerations
can indicate inadequate care.
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.
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