The nurse is admitting an elderly patient for failure to thrive ...

[karateprodigy]

The nurse is admitting an elderly patient for failure to thrive and weight loss. A nasogastric tube is inserted for supplemental tube feedings. The nurse should become concerned when (Select all that apply.)
 
  a. Bleeding is noted where the tube comes in contact with the nares.
  b. Nasal mucosa is pink.
  c. No discharge from the nose is noted.
  d. Clear, watery discharge is noted.

Question 2

Of the following developmental changes, which are most commonly associated with the elderly? (Select all that apply.)
 
  a. Increased eccrine and apocrine gland function
  b. Fungal nail infections
  c. Less resilient skin and bruising
  d. Increased skin lubrication
  e. Dry, itchy skin

[asware1]

Answer to Question 1

ANS: A, D
If patients have any form of tubing exiting the nose (e.g., nasogastric), observe for tissue damage, localized tenderness, inflammation, drainage, and bleeding where the tubing comes in contact with the nares. Allergies cause a clear, watery discharge. The nasal mucosa is normally pink and clear and has little or no discharge.

Answer to Question 2

ANS: B, C, E
Common problems of the feet affecting older adults include corns, calluses, bunions, hammer toe, and fungal infections. Long or roughened nails lead to traumatic nail avulsions in which the nail plate is torn from the nail bed. Older adults often have dry feet because of a decrease in sebaceous gland secretion and dehydration of epidermal cells. With aging, the rate of epidermal cell replacement slows, and the skin thins and loses resiliency. Moisture leaves the skin, increasing the risk for bruising and other types of injury. As production of lubricating substances by skin glands decreases, the skin becomes dry and itchy.

[karateprodigy]

Both answers were spot on, thank you once again

[asware1]

Great! Please up vote