NRNP 6540 WEEK 4 ASSIGNMENT WEEK 4: CASE STUDY
1 (ANSWERED BY EXPERT TUTORS) COMPLETE LATEST
FALL 2024 SOLUTION GUIDE
### 1. Mrs. Williams, 76 years old, comes in to have a wound on her right leg checked. She fell a month
ago, and the wound hasn’t healed. The nurse practitioner examines it and sees that it is clean and free
of infection, but the skin around it is red and tender. What is the best response to Mrs. Williams’
concern?
1. **Wound healing for older people may take up to four times longer than it does for younger
people.**
2. Let’s discuss what you’re eating.
3. If you had come in earlier, I would have prescribed medicine to heal the wound quickly.
4. I will prescribe antibiotics to prevent infection.
**✔ Answer:** 1
---
### 2. The nurse practitioner is doing rounds at a long-term care facility. While speaking with Mrs.
Jones, she notices that Mrs. Jones’ arms and elbows are excoriated, and the skin is shearing. The nurse
practitioner explains that frequent skin assessments are needed because:
1. Her lack of activity causes the skin to tear.
2. **Fat has redistributed to her abdomen and thighs, leaving bony areas like her hands and face
exposed, which can result in injury.**
3. She has lost weight and might fall soon.
4. She is picking at her skin and causing the breakdown.
,ESTUDY
**✔ Answer:** 2
---
### 3. Mr. James, 91, has bruises and lacerations on his arms. His daughter tells the nurse practitioner
about it, who explains that older people bruise easily due to fragile blood vessels and thin skin. The
nurse practitioner assures the daughter she will investigate further because:
1. These markings are normal for aging skin.
2. **Bruises and lacerations may indicate inadequate care.**
3. The daughter needs reassurance that her father is okay.
4. The patient is being abused.
**✔ Answer:** 2
---
### 4. The nurse practitioner assesses a patient and finds an infectious lesion on the lower leg, which is
classified as a secondary lesion. The nurse practitioner explains that a secondary lesion:
1. **Arises from changes in a primary lesion.**
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging.
**✔ Answer:** 1
---
### 5. Ms. Rose, 88, has a growth on her hand and wants a biopsy. The nurse practitioner asks:
,ESTUDY
1. Have you injured your hand recently?
2. Are you using a new detergent?
3. **Has this growth changed, bled, or become painful?**
4. Has the growth made it difficult to wear rings?
**✔ Answer:** 3
---
### 6. A 60-year-old man enters the burn center after getting burned at a campfire. His left arm has
both red, painful skin and an area with a blister. What degree of burn should the nurse practitioner
record?
1. First degree
2. Second degree
3. **First and second degree**
4. Second and third degree
**✔ Answer:** 3
Page: 98
Feedback
1.
First-degree burns involving the epidermis are erythematous and painful but do not blister.
, ESTUDY
2.
Second-degree burns involve the dermis and are characterized by blisters.
3.
The patient presents with erythematous skin, painful with blisters, which indicates both first- and
second-degree burn areas.
4.
In third-degree burns there is no sensation when the wound is pinpricked.
7. The nurse practitioner is concerned with primary prevention strategies. How can the nurse
practitioner implement primary prevention strategies for an 80-year-old male patient who smokes?
1. Review home fire safety protocols, including the proper use of smoke alarms, and discuss smoking
cessation.
2. Inform him that if he does not stop smoking, the nurse practitioner cannot see him again.
3. Have a conference with his family about his smoking.
4. Plan a family meeting with the patient to discuss benefits of his smoking cessation.
✔✔ - ANSWER - 7. Answer: 1
Page: 115, 116
Feedback
1.
Primary prevention includes educational programs designed to educate the public on safety. For
example, the individual smoking in bed would hopefully benefit from smoking cessation programs in the
community, as well as instruction in safety precautions.
2.
Threatening refusal of care is not ethical.
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