A nursing assistant is bathing a patient who has a stage I pressure ulcer on the right shoulder. What action by the health care team could cause that the tissue to become more damaged?
a. Positioning the patient on the left side
b. Massaging the reddened area
c. Cleaning the area with mild soap and wa-ter
d. Positioning the patient in a prone position
B
Any type of massage around or on a reddened area of skin can damage fragile capillaries.
You might also like to view...
A committee of nurse managers is creating hospital protocol using guidelines from the National Consensus Project (NCP) Domains of Palliative Care. Which statements indicate that the nurses have good understanding of these domains?
1. "The ethical aspects of palliative care will be outlined in a separate document." 2. "The protocols should take cultural concerns into consideration." 3. "Specific end-of-life protocols should follow guidelines written by a different consensus group." 4. "Physical aspects of care will be a primary issue in these protocols." 5. "The protocol should indicate that we refer any social issues to social service experts."
The nurse is assessing the client's cardiovascular system. The nurse is preparing to assess the client for the presence of a lift or heave
Which of the following directions should the nurse provide for the client? Standard Text: Select all that apply. 1. "I am going to put you into a position where your feet are actually above your head.". 2. "I need you to turn to your left side.". 3. "Can you please turn onto your stomach?" 4. "I need you to sit up straight.". 5. "I am going to elevate your head to a 30-degree angle while you lie on your back.".
The nurse is caring for a client with prostate cancer. Which laboratory finding indicates to the nurse that the cancer has metastasized to the bone?
a. Serum calcium, 21.6 mg/dL b. Creatine kinase, 55 U/mL c. Alkaline phosphatase, 45 IU/mL d. Lactate dehydrogenase, 120 U/L
The basic meal plan for patients with inflammatory bowel disease should be
a. high protein, low fat. b. low kcal, high fat. c. high kcal, low protein. d. high kcal, high protein.