Your client is at risk for development of pressure ulcers on the heels. Which of the following nursing interventions would be most appropriate?
1. Watch to see if pressure ulcers develop.
2. Avoid massaging over bony prominences because the pressure may increase the risk of pressure ulcer formation.
3. Suspend the heels off the bed.
4. Wash affected areas with hot water and soap to cleanse the skin.
ANS: 3
You might also like to view...
The nurse working in an acute care facility would be concerned that which of the following clients would be at greatest risk for infection?
1. A 33-year-old client who is the CEO of a bank 2. A 24-year-old client who is pregnant 3. A 64-year-old client recovering from a diabetic wound 4. A 6-year-old client with a broken leg
The director of nurses has asked the nurse to collaborate with the activity director on a stress management program for the assisted living facility. Which of the following activities should the nurse prioritize?
A) Bingo B) Yoga or t'ai chi C) Lectures on nutrition D) Monthly birthday parties
If a patient uses a monoamine oxidase inhibitor (MAOI) and they develop a headache, heart palpitations, and high blood pressure, they may have eaten food containing
a. caffeine. b. licorice. c. alcohol. d. tyramine.
Which question or statement to a client conveys acceptance?
A) "You know supplements can be harmful. Do you take any supplements? " B) "Have you ever discussed taking vitamins and supplements with your doctor? " C) "Will you please share with me the prescription medicines and vitamins you take? " D) "What helpful herbal supplements are you taking? "