NRNP 6540 FINAL EXAM /NRNP WEEK 12 FINAL
EXAM 2024-2025 ACTUAL EXAM 180 QUESTIONS
AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
Terms in this set (179)
,1. Mrs. Williams is 76 years 1. Answer: 1
old and comes in to have a Page: 96
wound checked on her
right leg. She fell a month
ago and the wound has not Feedback
healed. She is concerned 1.
that something is wrong. Skin renewal turnover time increases to approximately 87
The nurse practitioner days in older adults, compared with 20 days during
examines the wound and youth.
sees that it has been 2.
cleaned properly and has The perceived extended healing time is not related to
no signs of infection. The diet.
edges are approximated, 3.
but the skin around the This is false hope, as there is no medication that will heal
wound is red and tender to this wound quickly.
touch. The best response 4.
regarding Mrs. Williams' Prophylactic antibiotics are not appropriate when there
concern is: are no signs or symptoms of infection.
1. Wound healing for older
people may take up to four
times longer than it does for
younger people.
2. Let us talk about what
you are eating.
3. Had you come in earlier, I
would have ordered
medicine that would have
healed that right up.
4. I will order an antibiotic
to prevent infection.
,2. The nurse practitioner is 2. Answer: 2
conducting patient rounds Page: 96
in a long-term care facility.
As she talks with Mrs. Jones,
she notices that her arms Feedback
and elbows are excoriated 1.
and the skin is shearing. The Lack of activity alone does not cause skin breakdown.
nurse practitioner explains 2.
to the staff that Mrs. Jones Fat is redistributed to the abdomen and thighs, leaving
needs frequent assessment bony surfaces, such as the face, hands, and sacrum,
of her skin and protection exposed to potential injury, especially skin tears from
provided to prevent skin shearing, friction forces and pressure ulcer
breakdown because: development.
3.
1. Her lack of activity causes Although losing weight may be a risk factor for falling, it
the skin to tear. is not directly related to skin breakdown.
2. Fat has redistributed to 4.
the abdomen and thighs, There is no evidence that she is picking at herself, as
leaving bony surfaces in there is nothing reported anywhere else on her arms.
areas such as the face,
hands, and sacrum. This can
result in injury.
3. She has lost weight and is
in jeopardy of falling.
4. She picks at herself and
causes skin breakdown.
, 3. Mr. James is 91 years old. 3. Answer: 2
His daughter notices that he Page: 97
has bruises and lacerations
on his arms and reports this
to the nurse practitioner, Feedback
who tells her that older 1.
people bruise easily due to Markings on the skin may be signs of aging, a disease, or
their fragile blood vessels. maltreatment.
The skin lacerations happen 2.
because he has thin skin. Poorly healing wounds or chronic pressure ulcers may
Even so, the nurse signal a problem not only with the patient but with the
practitioner assures the caregiver's ability to provide adequate care. Welts,
daughter that she will lacerations, burns, and distinctive markings may indicate
investigate further to ensure a need for intervention.
that he is getting proper 3.
care. She says this because This is a result of the nurse practitioner addressing it
she understands that: further rather than the reason for addressing it.
4.
1. These markings on the A professional cannot assume abuse without good
patient's skin are part of reason.
aging skin.
2. Bruises and lacerations
can indicate inadequate
care.
3. The daughter needs
assurance that her father is
okay.
4. The patient is being
abused.
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