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, 1. Mrs. Williams is 76 years old and comes in to have a wound checked on her right leg. She fell a
month ago and the wound has not healed. She is concerned that something is wrong. The nurse
practitioner examines the wound and sees that it has been cleaned properly and has no signs of
infection. The edges are approximated, but the skin around the wound is red and tender to touch. The
best response regarding Mrs. Williams' concern is:
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.
1. Answer: 1
Page: 96
Feedback
1.
Skin renewal turnover time increases to approximately 87 days in older adults, compared with 20 days
during youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal this wound quickly.
4.
Prophylactic antibiotics are not appropriate when there are no signs or symptoms of infection.
2. The nurse practitioner is conducting patient rounds in a long-term care facility. As she talks with
Mrs. Jones, she notices that her arms and elbows are excoriated and the skin is shearing. The nurse
practitioner explains to the staff that Mrs. Jones needs frequent assessment of her skin and
protection provided to prevent skin breakdown because:
1. Her lack of activity causes the skin to tear.
Page 4 of 115
,Page 2 of 115
,Page 3 of 115
, 1. Mrs. Williams is 76 years old and comes in to have a wound checked on her right leg. She fell a
month ago and the wound has not healed. She is concerned that something is wrong. The nurse
practitioner examines the wound and sees that it has been cleaned properly and has no signs of
infection. The edges are approximated, but the skin around the wound is red and tender to touch. The
best response regarding Mrs. Williams' concern is:
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.
1. Answer: 1
Page: 96
Feedback
1.
Skin renewal turnover time increases to approximately 87 days in older adults, compared with 20 days
during youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal this wound quickly.
4.
Prophylactic antibiotics are not appropriate when there are no signs or symptoms of infection.
2. The nurse practitioner is conducting patient rounds in a long-term care facility. As she talks with
Mrs. Jones, she notices that her arms and elbows are excoriated and the skin is shearing. The nurse
practitioner explains to the staff that Mrs. Jones needs frequent assessment of her skin and
protection provided to prevent skin breakdown because:
1. Her lack of activity causes the skin to tear.
Page 4 of 115
