Why do the heels have the greatest incidence of breakdown, even when the patient is on the
most advanced specialty bed?
What will be an ideal response?
It is difficult to redistribute pressure when the body part is small. Heel interface pressure can exceed
capillary closing pressure quickly, even on a specialty bed.
You might also like to view...
The acute medical nurse is preparing to wean a patient from the ventilator. Which assessment parameter is most important for the nurse to assess?
A) Fluid intake for the last 24 hours B) Baseline arterial blood gas (ABG) levels C) Prior outcomes of weaning D) Electrocardiogram (ECG) results
The conceptual phase of the research process involves which of the following activities?
A) Formulating the problem and reviewing the related literature B) Selecting an appropriate research design for the study C) Finalizing and reviewing the research plan D) Interpreting the results of data analysis of key variables
The nurse is working with a client from Southeast Asia. The client tells the nurse that she should not put the baby to breast until her milk comes in and her breasts are warm, because "cold milk" (colostrum) is bad for the baby
After the nurse explains the benefits of colostrum, the client still insists that "cold milk" is bad. Which response by the nurse is best? 1. "What kind of formula would you like to use?" 2. "That idea is folklore. Colostrum is good for the baby." 3. "Now that you are here, you need to feed your baby the right way." 4. "Let's give the baby formula after you breastfeed."
A client with mania is exhibiting signs of a manic episode manifested by an elevated mood. Which of the following would the nurse expect to assess?
A) Feelings of being on top of the world B) Lack of restraint with feelings C) Overvalued sense of self-importance D) Indiscriminate enthusiasm for interactions