The patient complains of his "bottom" being sore. The nurse assesses the area and finds an open area on the sacrum that appears blistered. The nurse should:
1. document the cause of the burn.
2. clean with alcohol, apply moisturizer, and cover with a set dressing.
3. massage the area to promote circulation.
4. clean with mild soap, dry, and apply a light dressing.
4
If pressure ulcers develop despite all preventive measures, proper and early treatment im-proves the chance for reversal. A stage II ulcer should be cleaned with mild soap and water or with sterile normal saline, patted dry, and covered with a dressing that allows air flow.
You might also like to view...
The nurse is explaining the difference between delirium and dementia to a family member of a client with confusion. Which statement is appropriate for the nurse to include?
A) "The cause of delirium is unknown." B) "Dementia develops suddenly." C) "Delirium is a common occurrence in older adult clients who are hospitalized." D) Delirium is often confused with depression in older adult clients."
The nurse notes a rise in the eosinophil count and suspects the patient has a(n):
a. bacterial infection. b. allergy. c. viral infection. d. blood dyscrasia.
A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD)
When explaining this disorder to the parents, which of the following would the nurse include as being involved? Select all answers that apply. A) Impulsivity B) Inattention C) Distractibility D) Hyperactivity E) Defiance F) Anxiety
When a CNS or NP provides other nurses with information on improving client care, which of the following roles is being practiced?
1. Researcher 2. Administrator 3. Educator 4. Consultant