Author Question: An older adult client in a long-term care facility has visual and hearing losses. The nurse is alert ... (Read 43 times)

oliviahorn72 · **on:** Jul 22, 2018

An older adult client in a long-term care facility has visual and hearing losses. The nurse is alert to which of the following signs that represents the effects of sensory deprivation?

a. Diminished anxiety
b. Improved task completion
c. Altered spatial and time perception
d. Decreased need for physical stimulation

Question 2

The client has a red, raised skin rash. During the client's bath, which of the following should be the nurse's priority action?

a. Assess for further inflammatory reactions.
b. Discuss the body-image problems created by the presence of the rash.
c. Wash the skin thoroughly with hot water and soap.
d. Moisturize the skin to prevent drying.

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

Answer to Question 1

C
Altered spatial and time perception is a sign of sensory deprivation.
Increased anxiety is a sign of sensory deprivation.
Poor task performance is a sign of sensory deprivation.
An increased need for physical stimulation is a sign of sensory deprivation.

Answer to Question 2

A
The first action the nurse should take is to assess for further inflammatory reactions to determine if they are localized or systemic. The nurse assesses the condition before adapting hygiene prac-tices.
Discussing body-image problems would not be the priority nursing action.
Skin should be washed with warm water, not hot, as hot water may dry the skin. All soap should be rinsed off well, so as not to leave residue that may cause further irritation.
The rash may be caused by moisture; thus moisturizing the skin would not be appropriate. A lo-tion to help prevent itching may be applied.