The term used to describe the skin becoming overhydrated with a reduction in tensile strength, making it more vulnerable to damage from other forces such as friction is
a. tunneling c. maceration
b. shearing d. sanding
C
Maceration occurs when the skin becomes overhydrated by diaphoresis or prolonged exposure to moisture. The skin has a reduction in sensile strength and is more vulnerable to damage from other forces such as friction. Tunneling are areas of soft tissue destruction under intact skin that extend from the primary area of ulceration. Shearing occurs when tissue layers slide against one another. Sanding is not a term used to describe pressure ulcers.
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Of the following skills, which is considered an invasive procedure? (Select all that apply.)
a. Administering oral medications b. Starting an intravenous (IV) line c. Repositioning the patient. d. Inserting a urinary catheter.
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
a. "Don't be concerned. Accidents happen." b. "Let's put a diaper on your child until this gets better." c. "The stress of hospitalization makes children regress a little." d. "Your child will relearn 'potty-training' if you are patient."
Which of the following measures that are regularly undertaken in a long-term care facility are likely to reduce the incidence of influenza in the facility's residents over the winter?
A) Pneumococcal vaccinations are given annually. B) Vitamin D supplements are provided for all residents. C) Surfaces in common areas are cleaned regularly and contact with sick residents is minimized. D) Fluid intake is encouraged among all residents.
A community disaster has occurred and the hospital's emergency department (ED) has efficiently triaged, treated, and transferred most clients to appropriate units
The hospital incident command officer wants to "stand down" from the emergency plan. Which question by the nursing supervisor is most beneficial at this time? a. "Are you sure no more victims are coming into the ED?" b. "Do all other areas of the hospital have the supplies and personnel they need now?" c. "Have all ED staff had the chance to eat and rest recently?" d. "Are all other incident command officers and house supervisors in agreement with you?"