The nurse is evaluating the skin of an older patient who has been lying in bed for most of the day. How long would it take a pressure ulcer to begin to form in this patient?
a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 20 minutes
ANS: D
D. Ischemia from unrelieved pressure can begin to develop in 20 to 40 minutes. A. B. C. It takes longer then 5, 10, or 15 minutes for a pressure ulcer to begin to develop.
You might also like to view...
A positive TB skin test indicates that a patient has active tuberculosis
Indicate whether this statement is true or false.
Which drug forms a protective coating over an ulcer but does not coat normal stomach mucosa?
a. Sucralfate (Carafate) b. Lansoprazole (Prevacid) c. Metoclopramide (Reglan) d. Bismuth subsalicylate (Pepto-Bismol)
A nurse working in a clinic is planning to conduct vision screenings for a group of low-income women. What equipment would be needed to test vision?
A) Snellen chart B) stethoscope C) ophthalmoscope D) otoscope
The nurse is planning care related to pain control for an older adult. The nurse incorporates what principle(s) into the plan?
A. Pain is a natural outcome of the aging process. B. Pain perception increases with age. C. The client may deny pain. D. The nurse should avoid use of narcotics. E. The client may describe pain as an "ache" or "discomfort."