Although intact skin effectively protects an individual, it functions within physiological limits
Which qualities of healthy skin work synergistically within these limits to absorb, cushion against, deflect, or neutralize potentially harmful forces, as well as protect against potentially harmful substances that might impair skin integrity? (Select all that apply.) a. Strength
b. Pliability
c. Location
d. Durability
e. Moistness
f. Pigmentation
A, B, D
Skin must be strong enough to withstand forces that can impair its integrity. If skin is not supple, then it is unable to withstand directional forces and will tear. Skin must be sturdy enough to act as an effective protective mechanism. All skin must be able to absorb, cushion, and withstand forces. Skin in a moist environment is subject to bacterial and fungal overgrowth. Skin pigmen-tation is unrelated to its ability to cushion, absorb, and withstand potentially harmful substances and forces.
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A home health care nurse has conducted a home safety assessment for an older adult. There are five concrete steps leading out from the front door. Which intervention would be most helpful in keeping the older adult safe on the steps?
a. Have the client use a walker or cane on the steps. b. Install contrasting color strips at the edge of each step. c. Instruct the client to use the garage door instead. d. Tell the client to use a two-footed gait on the steps.
Which medication will the physician will most likely prescribe to increase urine output in the patient admitted with congestive heart failure?
1) Digoxin 2) Furosemide 3) Lovastatin 4) Atorvastatin
To prevent a common risk among older adults who are prescribed proton pump inhibitors, which safety precaution should you recommend?
a. "Be sure to take a daily multivitamin." b. "Use handrails when going up or down stairs." c. "Take this drug with food or a full glass of fluid." d. "Notify your prescriber if you develop belching or gas."
An older adult is admitted for a respiratory infection and is found to have very dry skin with several areas exhibiting some cracking. What question is most important for the nurse to ask the patient?
a. "Are you able to reach your feet when you bathe?" b. "Would you like me to give you a back massage?" c. "Do you get chilled easily when you bathe?" d. "How often do you usually bathe?"