Author Question: A hospitalized older adult has been assessed at high risk for skin breakdown. Which actions does the ... (Read 75 times)

DyllonKazuo

  • Hero Member
  • *****
  • Posts: 565
A hospitalized older adult has been assessed at high risk for skin breakdown. Which actions does the registered nurse (RN) delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Assess skin redness when turning.
  b. Document Braden Scale results.
  c. Keep the client's skin dry.
  d. Obtain a pressure-relieving mattress.
  e. Turn the client every 2 hours.

Question 2

A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since last month's visit. What actions should the nurse perform first? (Select all that apply.)
 
  a. Assess the client's ability to drive or transportation alternatives.
  b. Determine if the client has dentures that fit appropriately.
  c. Encourage the client to continue the current exercise plan.
  d. Have the client complete a 3-day diet recall diary.
  e. Teach the client about proper nutrition in the older population.



abctaiwan

  • Sr. Member
  • ****
  • Posts: 355
Answer to Question 1

ANS: C, D, E
The nurses' aide or UAP can assist in keeping the client's skin dry, order a special mattress on direction of the RN, and turn the client on a schedule. Assessing the skin is a nursing responsibility, although the aide should be directed to report any redness noticed. Documenting the Braden Scale results is the RN's responsibility as the RN is the one who performs that assessment.

Answer to Question 2

ANS: A, B, D
Assessment is the first step of the nursing process and should be completed prior to intervening. Asking about transportation, dentures, and normal food patterns would be part of an appropriate assessment for the client. There is no information in the question about the older adult needing to lose weight, so encouraging him or her to continue the current exercise regimen is premature and may not be appropriate. Teaching about proper nutrition is a good idea, but teaching needs to be tailored to the client's needs, which the nurse does not yet know.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

Nearly 31 million adults in America have a total cholesterol level that is more than 240 mg per dL.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

For a complete list of videos, visit our video library