To prevent pressure ulcers in a frail elderly client, the nurse would (Select all that apply)
a. bathe and dry the skin vigorously to stimulate circulation.
b. keep the head of the bed elevated 30 degrees.
c. offer nutritional supplements and frequent snacks.
d. turn the client at least every 2 hours.
C, D
Clients should be turned at least every 2 hours as permanent damage can occur in 2 hours or less. If skin assessment reveals a stage I ulcer while on a 2-hour turning schedule, the client must be turned more frequently. Protein-calorie malnutrition is another major risk factor for developing pressure ulcers. Additional supplements boost nutritional status, which is essential to healthy skin. Use of doughnuts, elevated head of beds, and overstimulation of skin may all stimulate, if not actually encourage, dermal decline.
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What features are components of Jean Watson's caring theory of nursing? (Select all that apply.)
1. Caritas 2. Transpersonal caring 3. High-touch 4. Intentionality 5. Hierarchy of needs
After teaching a group of women in the community about common mental health disorders affecting them, the community health nurse determines the need for additional teaching when the group identifies which of the following as common in women?
A) Anxiety disorders B) Suicide completion C) Mood disorders D) Eating disorders
The nurse is designing a teaching plan for community members on ways to prevent chronic pain. Which information should the nurse include in this teaching plan?
Select all that apply. A) Eating a healthy diet B) Obtaining adequate sleep C) Avoiding illicit drug use D) Limiting smoking before going to sleep E) Avoiding repetitive movements
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