A 68-year-old patient has been admitted to the coronary care unit ...

[sjones]

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction. When caring for this patient, the nurse will give increased attention to skin integrity because of the
 
  a. thickening of the epidermal skin layer.
  b. loss of sebaceous glands.
  c. increased fragility from loss of protective subcutaneous layers.
  d. decreased melanocyte production.

Question 2

Sleep deprivation can result from which of the following?
 
  a. CPAP machine use
  b. Mechanical ventilation
  c. Use of nonbenzodiazepine short-acting hypnotics
  d. Use of analgesic medications to control pain

[Sassygurl126]

Answer to Question 1

C
Ecchymotic areas may be seen because of decreased protective subcutaneous tissue layers, increased capillary fragility, and flattening of the capillary bed, predisposing older adults to developing ecchymoses. Medications and physiologic factors may result in an augmented bleeding tendency and appearance of ecchymotic areas; nevertheless, consideration should be given to the possibility of older adult abuse if ecchymosis is widespread or in unusual areas.

Answer to Question 2

B
Not surprisingly, mechanical ventilation and the required care associated with it contribute to sleep disturbances. CPAP treats the obstruction and the snoring, choking, and gasping that accompany it, and it provides cardiovascular benefits. Hypnotics and analgesic medications may aid sleep. Nurses have a responsibility to administer these medications in the most efficient manner to promote sleep and to monitor effectiveness.

[sjones]

Thank you

[Sassygurl126]

Happy to help you