A 91-year-old patient is slated for orthopedic surgery and the nurse is integrated gerontologic considerations into the patient's plan of care. What intervention is most justified in the care of this patient?

A) Administration of prophylactic antibiotics
B) Total parenteral nutrition (TPN)
C) Use of a pressure-relieving mattress
D) Use of a Foley catheter until discharge


Ans: C
Feedback:
Older adults have a heightened risk of skin breakdown; use of a pressure-reducing mattress addresses this risk. Older adults do not necessarily need TPN and the Foley catheter should be discontinued as soon as possible to prevent urinary tract infections. Prophylactic antibiotics are not a standard infection prevention measure.

Nursing

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