What is the priority nursing diagnosis for the older adult client who has very thin skin on the backs of the hands and arms?
A. Risk for Injury
B. Risk for Infection
C. Risk for Disuse Syndrome
D. Risk for Imbalanced Body Temperature: hyperthermia
A
The thinning skin, with a decreased attachment between the dermis and the epidermis, is at an increased risk for injury in response to even minimal trauma or shearing events.
You might also like to view...
Which of the following is not related to the theory of successful versus disturbed communication patterns during an admission assessment?
1. The appropriateness of the content of the message. 2. The quality of the feedback provided. 3. The language level of the assessment nurse. 4. How efficiently the client delivers a message.
Antidepressant drugs
1. keep the client from becoming manic. 2. increase certain neurotransmitter activity. 3. cure the problems associated with depression. 4. help the client ignore feelings of depression.
For which reason must a patient keep his or her chemotherapy medications in a locked cabinet?
a. These medications are very costly. b. These medications are very toxic. c. These medications have narcotic effects. d. These medications are hard to replace monthly.
A patient on the medical unit is found to have pulmonary tuberculosis (TB). What is the most appropriate precaution for the staff to take to prevent transmission of this disease?
A) Standard precautions only B) Droplet precautions C) Standard and contact precautions D) Standard and airborne precautions