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Which of the following interventions will help prevent pressure sores for the patient with impaired mobility?
- A. Provide skin care several times per day if the patient is on bedrest.
- B. Place pillows between knees and ankles when in side-lying positions.
- C. Assess pressure points for erythema at least every 4 hours, sometimes as often as every 2 hours.
- D. Encourage adequate fluids and nutrition and provide protein supplements if needed.
Correct Answer: A,B,C,D
Rationale: All interventions promote skin integrity, reduce pressure, and support healing, preventing pressure sores in immobile patients.
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Older adults often have trouble with constipation. What is the physiological reason for constipation that is associated with old age?
- A. Changes in appetite
- B. Decreased peristalsis
- C. Insufficient fiber in the diet
- D. Using supplements such as Ensure
Correct Answer: B
Rationale: Decreased peristalsis, a common age-related change, slows intestinal motility, leading to constipation.
Which of the following questions represents the best approach to determining if a caregiver is experiencing burnout?
- A. Are you tired of taking care of your husband/wife?'
- B. Are you experiencing any personal health problems such as insomnia or fatigue?'
- C. Have you ever felt like leaving your husband/wife?'
- D. Do you feel you have too much to do in terms of caring for your husband/wife?'
Correct Answer: B
Rationale: Asking about personal health problems like insomnia or fatigue is a sensitive and effective way to identify burnout, as these are common symptoms without being accusatory.
List several interventions that are required when caring for patients/residents with impaired mobility.
- A. Assist with repositioning every 2 hours; prevents pressure ulcers.
- B. Use assistive devices like walkers; promotes safe mobility.
- C. Provide physical therapy exercises; maintains muscle strength.
- D. Ensure clear walkways; reduces fall risk.
Correct Answer: A,B,C,D
Rationale: These interventions enhance safety, prevent complications, and support functional mobility.
Which one of the following integumentary system changes puts the patient at greatest risk for complications from bedrest?
- A. Skin becomes thin and fragile
- B. Capillaries become fragile
- C. Decreased circulation to skin and underlying tissue
- D. Tendency to bruise easily
Correct Answer: C
Rationale: Decreased circulation increases the risk of pressure ulcers during bedrest, as it impairs tissue perfusion and healing.
Which of these are features of a memory care unit?
- A. It is a specialized environment for people with dementia.
- B. It is most similar to an intermediate care facility, but with increased support.
- C. A great deal of is placed on emphasis, resident safety.
- D. emphasis is placed on resident safety is an important consideration for residents in long-term care facilities.
- E. It is set up to allow safe wandering for residents to wander safely.
- F. The atmosphere is lively and stimulating to help residents be engaged and stay in engaged with their surroundings.
- G. It is important to engage residents in stimulating activities to promote resident engagement in long-term care facilities.
Correct Answer: A,C,D
Rationale: Memory care units are specialized for dementia, prioritize safety, and allow safe wandering to accommodate residents' needs.