A nurse is educating a group of nursing assistants in long-term care on the prevention of skin tears. Which of the following interventions should the nurse include in the education? (Select all that apply.)
a. Lubricate the resident's skin with moist-urizers twice daily
b. Ensure that the resident has adequate nu-trition and hydration
c. Bathe the resident in hot soapy water
d. Avoid the use of lifting shifts when trans-ferring the resident
e. Dress the resident in long sleeves and long pants to protect the extremities
ANS: A, B, E
Soapless bathing, tepid water, and moisturizers twice daily are recommended to prevent skin tears. Heavy soaps and hot water dry out the skin increasing the risk of skin tears. Lifting sheets are recommended as are the use of long sleeves and long pants to protect the extremities.
You might also like to view...
The nurse is caring for an older adult who has been prescribed inhaled corticosteroids for asthm
a. What does the nurse teach about this medication? a. Taken just before retiring for the night b. Reserved for acute attacks only c. Used in increasing doses as needed d. How to use and rinse the inhaler
Your 15-year-old patient is athletic and thin. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her:
a. sleep patterns. b. salt intake. c. aerobic workouts. d. menstrual cycles.
A patient prescribed metoclopramide (Reglan) tells you that his abdomen is making gurgling sounds. What is your best action?
a. Tell the patient that this is an expected effect of the drug. b. Document this finding as the only action. c. Hold the drug and notify the prescriber. d. Listen for bowel sounds in all four quadrants of the abdomen.
Body movement depends on which part of the brain?
A. cerebral cortex B. hypothalamus C. substantia nigra D. both A and C