Author Question: The nurse notes that the older adult client in his or her care has dry, flaky skin on her hands, ... (Read 27 times)

leo leo · **on:** Jul 22, 2018

The nurse notes that the older adult client 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 clients?

a. They may require bathing more frequently because they tend to keep their sur-rounding environment quite warm.
b. They may require bathing less frequently than younger clients, due to 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

When a deficit of body fluid exists in the intravascular compartment, which of the following signs can be expected?

a. Crackles
b. Hypertension
c. Neck vein distension
d. An elevated hematocrit

recede · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

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

Answer to Question 2

D

Feedback
A Crackles (in lungs) are consistent findings with fluid volume excess.
B An assessment finding associated with fluid volume deficit is hypotension.
C Neck vein distension may be seen with fluid volume excess.
D An elevated hematocrit would be expected with a deficit of body fluid in the intravascular compartment. When an excess of body fluid exists in the intravascular compartment, a decreased hematocrit would be expected.