The patient is admitted with a large stage IV pressure ulcer on his coccyx. After comparing the benefits of the following support surfaces, the nurse would choose which of the following as most appropriate for this patient?
a. Water mattress
b. Gel overlay
c. Foam overlay
d. Air-fluidized bed
D
If a patient has large stage III or stage IV pressure ulcers on multiple turning surfaces, a low-air-loss bed or air-fluidized bed may be indicated. The use of water mattresses has been reduced considerably because they harbor organisms in the water, and leaks in the mattress are risky for patients with open wounds. Gel overlays are used for moderate- to high-risk patients, not for patients who have stage IV ulcers. They are useful for patients who are wheelchair dependent. Foam overlays are used for moderate- to high-risk patients, not for those with stage IV ulcers.
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The client using a diaphragm for contraception should be advised to
a. keep the device in place for 1 hour after intercourse b. apply a petroleum-based product to assist with insertion c. have the device refitted if there is a substantial weight gain d. clean the device with water and pat with cornstarch to aid drying
A toddler with spastic cerebral palsy needs to be transported to the radiology department. What transportation method should the nurse use to take the toddler to the radiology department?
a. A stretcher b. A wheelchair c. A wagon with pillows d. Carried in the nurse's arms
The nurse suspects dehydration in an elderly client. The nurse assesses for skin turgor on the client's:
A) abdomen. B) upper extremities. C) lower extremities. D) sternum.
Which of the following assessment findings would indicate to the nurse that a trauma patient is developing a complication?
1. temperature 99.8 degrees Fahrenheit 2. urine output 10 cc per hour 3. respiratory rate 18 and regular 4. heart rate 94 and regular