A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction. When caring for this patient, the nurse will give increased attention to skin integrity because of the
a. thickening of the epidermal skin layer.
b. loss of sebaceous glands.
c. increased fragility from loss of protective subcutaneous layers.
d. decreased melanocyte production.
C
Ecchymotic areas may be seen because of decreased protective subcutaneous tissue layers, increased capillary fragility, and flattening of the capillary bed, predisposing older adults to developing ecchymoses. Medications and physiologic factors may result in an augmented bleeding tendency and appearance of ecchymotic areas; nevertheless, consideration should be given to the possibility of older adult abuse if ecchymosis is widespread or in unusual areas.
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What are the key tenants of the Triple Aim for Health Care? (Select all that apply.)
a. Better care for individuals b. Better health for populations c. Better working conditions for nurses d. Reduction of per capita costs
A colposcopy has been ordered for a client. Which of the following should be included in the education provided to the client?
1. Sexual intercourse is restricted for 2 days before the procedure. 2. The procedure will likely require the client to stay overnight at the hospital. 3. Heavy vaginal bleeding is a likely occurrence after the procedure. 4. The client may expect to have referred shoulder pain in the first few days after the procedure.
Tissues die and become black, cold, and shriveled. This is:
a. Cancer b. Gangrene c. Arthritis d. Metastasis
Differences in incidence, prevalence, mortality, and burden of disease that exist among specific population groups are called:
a) health disparities. b) public health crises. c) health differences. d) care gaps.