What interventions by the nurse will aid in maintaining skin integrity in the long-term care facility residents? (Select all that apply.)
a. Changing the briefs and bed linens when damp
b. Maintaining the temperature in the room at 80 degrees
c. Rinsing excess soap off the skin during a shower
d. Administering frequent pericare on the continent resident
e. Laying residents down after lunch
ANS: A, C, E
Waste products and soap are irritating to the skin and must be removed promptly. Rest periods during the day will relieve pressure. Exposure to a hot, dry environment and frequent pericare to a resident who is not incontinent is going to make the skin more prone to breakdown.
You might also like to view...
Which of the following is an example of theoretical knowledge?
1) A nurse uses sterile technique to catheterize a patient. 2) Room air has an oxygen concentration of 21%. 3) Glucose monitoring machines should be calibrated daily. 4) An irregular apical heart rate should be compared with the radial pulse.
Concerning the position of the laboring woman, maternity nurses should be able to tell her that:
1. the supine position commonly used in the United States increases blood flow. 2. the "all fours" on her hands and knees is hard on her back. 3. frequent changes in position will help relieve her fatigue and increase her comfort. 4. in a sitting or squatting position her abdominal muscles will have to work harder.
Which herbal preparation may cause delirium and should be avoided in an elderly patient?
a. Sam-e c. Melatonin b. Saint John's Wort d. Saw Palmetto
Health care workers
A) need not be concerned about the Patient's Bill of Rights. B) should refer questions about "rights" to the physician. C) must not discuss patient rights because of confidentiality concerns. D) must be familiar with the "rights" document for their setting.