A 76-year-old client with a pressure ulcer forming on the coccyx asks the nurse why a sore has developed. What should the nurse respond?

1. Baths rather than showers can cause the skin to degenerate.
2. Sitting for prolonged periods contributes to ulcers.
3. Too much activity causes gravity ulcers.
4. A high-protein diet contributes to ulcer formation.


Answer: 2

1. Neither baths nor showers contribute to the formation of ulcers.
2. Because the older client experiences decreased peripheral circulation and skin becomes more fragile and dry, sitting for prolonged periods can cause pressure ulcers on bony surfaces.
3. Pressure ulcers do not form from gravity.
4. A high-protein diet is helpful in rebuilding tissues.

Nursing

You might also like to view...

What is the earliest age at which a satisfactory radial pulse can be taken in children?

a. 1 year b. 2 years c. 3 years d. 6 years

Nursing

The nurse has completed teaching. Which client behavior demonstrates understanding within the psychomotor domain?

a. provides return demonstration of use of inhaler b. verbalizes key points of a brochure about diabetes that was read c. states, "I feel comfortable using my walker." d. provides a description of what appropriate wound healing should look like

Nursing

During the nursing history and physical assessment of a patient with left-sided heart failure, which finding might the nurse expect related to the patient's diagnosis?

a. Orthopnea with bubbling crackles throughout the lungs b. Anorexia with weight loss of 3 pounds in 1 week c. Increased urinary output, especially during waking hours d. Periorbital and facial edema

Nursing

A patient who is taking an oral narcotic for pain relief tells the nurse he is constipated. What is this common response to narcotics called?

A) therapeutic effect C) toxic effect B) adverse effect D) idiosyncratic effect

Nursing