An older adult patient reports simple xerosis with mild pruritus. ...

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An older adult patient reports simple xerosis with mild pruritus. The nurse educates her on the importance of
 
  a. applying a lanolin-rich cream and avoiding scratching the areas.
  b. taking warm baths and gently rubbing of affected areas with a terrycloth towel.
  c. minimizing ingestion of fried foods and use of an antihistamine cream.
  d. avoiding bath oils and allowing the skin to air-dry after bathing.

Question 2

An older adult woman has a resistant strain of pneumoni
 
  a. To best minimize her risk of developing acute renal failure, the nurse:
  a. monitors the patient's serum blood urea nitrogen (BUN) levels via diagnostic la-boratory work.
  b. helps the patient select low-sodium foods from her daily menu.
  c. measures and records the patient's urinary output.
  d. chooses an analgesic other than ibuprofen (Motrin).

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Answer to Question 1

A
The nurse suggests that the patient apply emollients (e.g., Lubriderm, Moisturel, or Eucerin lotion or cream), which have more lanolin or oily substances than many commercial lotions. Time should be planned to teach the patient and family about etiologic factors and the importance of not scratching. The other options are not helpful and will not decrease the itching.

Answer to Question 2

D
Patients with pneumonia often have mild to moderate pain. Nonsteroidal antiinflammatory drug (NSAIDs) are common analgesics; however, they can cause acute kidney injury. Using another class of drug for pain relief will help protect the patient's kidneys. The patient may be at risk of acute kidney injury because of dehydration or the nephrotoxic effects of certain antibiotics.

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Gracias!

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TYSM