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 Feedback
not healed. She is 1.
concerned that something Skin renewal turnover time increases to approximate
is wrong. The nurse 87 days in older adults, compared with 20 days durin
practitioner examines the youth.
wound and sees that it has 2.
been cleaned properly The perceived extended healing time is not related t
and has no signs of diet.
infection. The edges are 3.
approximated, but the skin This is false hope, as there is no medication that will
around the wound is red heal this wound quickly.
and tender to touch. The 4.
,best response regarding Prophylactic antibiotics are not appropriate when
Mrs. Williams' concern is: there 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 Feedback
arms and elbows are 1.
excoriated and the skin is Lack of activity alone does not cause skin breakdow
shearing. The nurse 2.
practitioner explains to the Fat is redistributed to the abdomen and thighs, leavin
staff that Mrs. Jones needs bony surfaces, such as the face, hands, and sacrum,
frequent assessment of her exposed to potential injury, especially skin tears from
skin and protection shearing, friction forces and pressure ulcer
provided to prevent skin development.
breakdown because: 3.
Although losing weight may be a risk factor for fallin
1. Her lack of activity it is not directly related to skin breakdown.
, causes the skin to tear. 4.
2. Fat has redistributed to There is no evidence that she is picking at herself, as
the abdomen and thighs, there is nothing reported anywhere else on her arms
leaving bony surfaces in
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.
old and comes in to have a Page: 96
wound checked on her
right leg. She fell a month
ago and the wound has Feedback
not healed. She is 1.
concerned that something Skin renewal turnover time increases to approximate
is wrong. The nurse 87 days in older adults, compared with 20 days durin
practitioner examines the youth.
wound and sees that it has 2.
been cleaned properly The perceived extended healing time is not related t
and has no signs of diet.
infection. The edges are 3.
approximated, but the skin This is false hope, as there is no medication that will
around the wound is red heal this wound quickly.
and tender to touch. The 4.
,best response regarding Prophylactic antibiotics are not appropriate when
Mrs. Williams' concern is: there 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 Feedback
arms and elbows are 1.
excoriated and the skin is Lack of activity alone does not cause skin breakdow
shearing. The nurse 2.
practitioner explains to the Fat is redistributed to the abdomen and thighs, leavin
staff that Mrs. Jones needs bony surfaces, such as the face, hands, and sacrum,
frequent assessment of her exposed to potential injury, especially skin tears from
skin and protection shearing, friction forces and pressure ulcer
provided to prevent skin development.
breakdown because: 3.
Although losing weight may be a risk factor for fallin
1. Her lack of activity it is not directly related to skin breakdown.
, causes the skin to tear. 4.
2. Fat has redistributed to There is no evidence that she is picking at herself, as
the abdomen and thighs, there is nothing reported anywhere else on her arms
leaving bony surfaces in
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.
