As you are completing R.L.'s assessment, the wound nurse specialist comes in. She knows R.L. from a prior
admission; as soon as she received the request for a wound care consultation, she ordered a specialty
mattress.
She states that an air overlay should be delivered to your unit before your shift ends.
Why is a specialty bed or mattress used for immobile or compromised patients?
Specialty beds and mattresses "off-load" pressure points by distributing pressure over a larger
surface. There are several classifications, each with general guidelines for placement based on a
patient's condition and risks. At one end of the spectrum are foam mattresses and gel overlays. Then
there are several types of air overlays and beds: static air, dynamic air, low air loss, and fluidized air.
Often they are referred to in terms of pressure relief or reduction.
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A healthcare worker who is asymptomatic has a screening TST result of 10 mm of induration during a pre-employment physical. What will the nurse reading this test tell the patient?
a. "This is a negative test, so you are cleared for employment." b. "You have latent TB and will need to take isoniazid for 6 to 9 months." c. "You need to have a chest radiograph and a sputum culture." d. "You will begin taking a four-drug regi-men to treat tuberculosis."
To be effective users of a new documentation system, the staff must be trained. Which approach demonstrates the most effective use of training for a new computer system?
A) A training environment is set up off site. B) Training is scheduled during the normal workday. C) Training is provided with actual live software. D) Actual client data are stored in the training system.
A nursing student working with wounded soldiers learns that rivastigmine (Exelon) has been approved for use in the treatment of dementia
This finding holds promise for the clients the student cares for because rivastigmine has shown promise in treating: A) Psychosis. B) Moderate to severe depression. C) Paranoia. D) Moderate to severe memory loss.
A patient at 28 weeks' gestation is being assessed for preterm labor. Which finding indicates that preterm labor is occurring?
A) Ferning is found in the vaginal secretions B) Irregular mild contractions are occurring every 10 to 15 minutes C) Fetal fibronectin is present in vaginal secretions D) The cervix is effacing and dilated to 2 cm