Which of the following influence resistance of skin integrity?

Correct Answer: D

Rationale: All of the above,' as age, amount of underlying tissue, and illness all influence skin integrity resistance. Age (A) affects skin thickness and elasticity elderly skin thins, losing resilience, while youthful skin is more robust. Amount of underlying tissue (B), like subcutaneous fat, cushions and protects skin; less tissue increases vulnerability to breakdown, as in malnourishment. Illness (C) weakens skin through impaired immunity or circulation, as in diabetes or infection, reducing repair capacity. Each factor independently impacts durability, and together, they compound risk, making 'All of the above' correct. In nursing, this holistic view guides risk assessment e.g., an elderly, thin patient with chronic illness is prone to ulcers. No single factor suffices; their synergy is critical, distinguishing D as the comprehensive choice per wound care principles.

Correct Answer: C

Rationale: It depends,' as a pressure ulcer can be acute or chronic depending on its duration and healing trajectory. Acute pressure ulcers form quickly from intense, short-term pressure (e.g., post-surgery immobility) and may heal with prompt relief. Chronic pressure ulcers persist over weeks or months, often in immobile patients with comorbidities like diabetes, staying in the inflammatory phase. 'Acute wound' alone doesn't account for chronic cases. 'Chronic wound' excludes acute ones. 'None of the above' dismisses valid variability. In nursing, this distinction guides care acute ulcers need immediate pressure relief, chronic ones require ongoing management (e.g., debridement). The question's broad scope demands flexibility, making C the accurate choice reflecting pressure ulcers' context-dependent nature.

Correct Answer: C

Rationale: Nursing assistants (NAs) handle basic care under supervision. Repositioning every 2 hours is ideal preventing pressure injury worsening, within NA training, and per protocols like NPUAP guidelines. Dietary choices require nutritional knowledge beyond NA scope. Determining wound care is an RN/LPN task needing clinical judgment. Describing wounds involves assessment, reserved for licensed staff. Repositioning is a safe, effective NA duty, reducing LPN workload while supporting healing, making it the most appropriate and correct assignment.

Correct Answer: C

Rationale: Therapeutic responses promote patient expression and trust. 'Are you saying your cast is uncomfortable? Tell me more' uses clarification and open-ended questioning, encouraging elaboration per communication standards. Sharing personal loss shifts focus to the nurse. Suggesting ointment is directive, not therapeutic. Relating to surgery dislike assumes feelings. Choice C aligns with patient-centered care, aiding assessment and emotional support, making it the correct therapeutic statement.

Correct Answer: C

Rationale: Management roles require leadership and critical thinking, best developed in a baccalaureate nursing program (BSN) (Choice C), per AACN standards. Nurse practitioner focuses on advanced practice, not management. Associate degree prepares RNs for bedside care, less leadership. Practical/vocational trains LPNs for technical roles, not management. BSNs offer courses in administration and policy, preparing nurses for supervisory positions, making it the correct choice for this goal.