An 86-year-old resident struck her forearm on a table, causing a category I L-shaped skin tear 6 cm 2 cm. Which action(s) is/are appropriate for the nurse to take? (select all that apply.)
a. Clean the tear with alcohol.
b. Approximate the edges of the tear.
c. Secure the skin flap with Steri-Strips.
d. Cover with a nonadherent dressing.
e. Assess closely for 5 days for signs of in-fection.
Question 2
Which factor(s) could increase the risk for skin tears in a 90-year-old resident? (select all that apply.)
a. Incontinence
b. Bruised areas
c. Obesity
d. Prolonged use of corticosteroids
e. History of congestive heart disease
skin cancer
skin of a spider
Assessing skin turgor.
muscles of forearm
skin
Step stool can help clients get onto and off of a high table.