The nurse notes that the older adult patient in his or her care ...

[brutforce]

The nurse notes that the older adult patient in his or her care has dry, flaky skin on her hands, face, arms, and legs. Which of the following does the nurse know is true about bathing older adult patients?
 
  a. They may require bathing more frequently because they tend to keep their surrounding environment quite warm.
  b. They may require bathing less frequently than younger patients because of dry skin.
  c. They require bathing with strong soap due to issues with incontinence.
  d. They require bathing with very hot water and vigorous rubbing to remove dead skin cells.

Question 2

A nurse is caring for an elderly patient who was in a motor vehicle accident because he thought the stop light was green. The patient asks the nurse if he should no longer drive. Which response by the nurse is most therapeutic?
 
  a. Yes, you should stop driving. As you age, your cognitive function declines, and becoming confused puts everyone else on the road at risk.
  b. Yes, you should ask family members to drive you around from now on. Your reflex skills have declined so much you can't avoid an accident.
  c. No, as you age, you lose the ability to see colors. You need to think about stoplights in a new way. If the top is illuminated, it means stop, and if the bottom is illuminated, it means go.
  d. No, instead you should see your ophthalmologist and get some glasses to help you see better.

[ong527]

Answer to Question 1

B

Feedback
A Older adult patients frequently have their environments warm because of poor circulation. However, they do not necessarily perspire any more than do people from younger age groups.
B Older adult patients may bathe less frequently and should rinse the body of all soap because residue left on skin can cause irritation and breakdown.
C Older adult patients should bathe with mild soap and use lots of moisturizer to prevent the skin from drying further.
D Hot water depletes the skin of natural oils, drying it out. Vigorous rubbing can damage the skin.

Answer to Question 2

C
Part of the normal aging process is an inability to see colors. Much as with a younger adult who is color blind, the nurse should teach the patient new ways to adapt to his deficit. This patient's accident was not due to impaired cognitive function or reflexes. Glasses will not assist the patient in color discrimination.

[brutforce]

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[ong527]

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