Answered

  1. An elderly patient has dry, itchy skin. Which intervention is generally appropriate when included in the care plan?
AUse gentle skin care and prescribed/approved moisturising measures
BScrub the skin hard
CUse very hot water
DAvoid all hygiene


  1. During personal care, the HCA notices a new darkened area on a patient's heel. What is the most appropriate response?
AReport and document the finding promptly for assessment
BIgnore it until it becomes an open wound
CApply pressure to the area
DEncourage the patient to walk on it


  1. A patient with a wound develops increasing redness, warmth, swelling, and drainage. What should the HCA do?
AReport the changes promptly because they may indicate infection
BCover the symptoms and wait several days
CMassage the wound
DRemove all dressings without instructions


  1. A patient reports difficulty swallowing while eating. What should the HCA do?
AStop or pause feeding and report the swallowing difficulty according to the care plan
BGive larger bites
CEncourage rapid eating

Verified Answer :

Final answer:

The appropriate care for elderly patients includes gentle skin care and moisture to prevent irritation, prompt reporting of skin changes or infection signs, and immediate action when swallowing difficulties are present. These interventions prioritize patient safety and comfort. Health care assistants play a critical role in monitoring and reporting changes in patient health status.


Explanation:

Appropriate Interventions for Elderly Patient Care

When providing care to an elderly patient with dry, itchy skin, it is crucial to implement the correct intervention to ensure their comfort and skin integrity. The most appropriate intervention is to use gentle skin care and prescribed/approved moisturising measures (Option A). This means opting for mild soap, avoiding harsh chemicals, and applying a suitable moisturizer that helps to retain skin moisture and prevent further irritation.

Responding to New Skin Changes

If a health care assistant (HCA) notices a new darkened area on a patient's heel, the proper response is to report and document the finding promptly for assessment (Option A). Timely reporting is vital, as changes in skin color could indicate potential issues such as pressure sores or vascular problems that need professional evaluation.

Managing Signs of Infection

In cases where a patient’s wound exhibits signs of increasing redness, warmth, swelling, and drainage, the HCA should report the changes promptly because they may indicate infection (Option A). Prompt action allows for timely medical intervention, which is vital in preventing further complications.

Addressing Swallowing Difficulties

When a patient reports difficulty swallowing while eating, the correct procedure is to stop or pause feeding and report the swallowing difficulty according to the care plan (Option A). This step is critical to prevent choking and ensures that the patient receives appropriate dietary modifications or assessments for underlying conditions.


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