Elders are at a higher risk of skin tears due to a. loss of ...

[rlane42]

Elders are at a higher risk of skin tears due to
 
  a. loss of bone mass c. dermal-epidermal junction loss
  b. loss of muscle mass d. subcutaneous loss

Question 2

The nurse is evaluating a client who had a colostomy six weeks ago for ulcerative colitis. The nurse concludes that teaching goals are met when the assessment includes which of the following?
 
  1. Colostomy pouch is clean and dry.
   2. Stoma is pink and intact.
   3. Client has a normal temperature.
   4. Client experiences pain with some foods.

[popopong]

Answer to Question 1

C
The dermal-epidermal junction is the anatomical point at which the epidermis connects with the dermis. This junction is characterized by interdigitating connections which provide resistance to superficial skin injury because the two layers move jointly as opposed to separately. This interlocking configuration is lost late in life, which contributes to the increased incidence of skin tears among older adults.

Answer to Question 2

2. Stoma is pink and intact.

Rationale:
Stoma care is taught to the client after surgery, and the goal is for the stoma to be pink with intact skin. It is not as critical that the ostomy pouch be clean and dry, particularly if the client has had a stool. A normal temperature would not be a particular goal for all clients. Clients with ulcerative colitis are going to have pain when they eat foods that irritate the bowel, but this is not a goal.

[rlane42]

TYSM

[nguyenhoanhat]

Thanks for the timely response, appreciate it