Nurse Aide NNAAP Exam Prep

Category - Physical Care

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Mrs. Moore, a 69-year-old client, is emaciated. The nurse aide takes precautionary measures in order to prevent which of the following problems in skin integrity?

Blisters
Pressure sores
Reddening of the skin
Pustules

Explanation

Answer: B - Pressure sores are a concern with emaciated clients. Factors that contribute to the formation of pressure ulcers include the following: immobility, prolonged inadequate nutrition that causes weight loss, muscle atrophy, and loss of subcutaneous tissue; fecal and urinary incontinence; decreased mental status; diminished sensation; excessive body heat; and advanced age.

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