The nurse observes redness over several pressure points on the client who is obese and is on a bariatric bed. Which should the nurse add to the plan of care?
1. Assess for pressure-relieving mattress.
2. Reposition client every 4 hours or less.
3. Collaborate for an antifungal ointment.
4. Apply an air mattress to the bariatric bed.
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4. Bariatric beds do not provide a support surface to reduce or relieve pressure; be-cause the client has pressure ulcers, the nurse plans to improve skin integrity for the client with stage I pressure ulcers by using a pressure-reducing mattress on the baria-tric bed. Static air, gel, and low air-loss mattresses are available for bariatric beds; however, the low air-loss mattress is indicated for clients with stage III and IV pres-sure ulcers.
1. Pressure-relieving mattresses are not made for a bariatric bed.
2. Repositioning any client every 4 hours is inadequate to maintain tissue oxygena-tion. Despite above-average adipose tissue for padding, clients with obesity are at risk for pressure ulcers.
3. If the nurse finds the reddened areas in skin folds, an antifungal ointment is rea-sonable.
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a. less than we need. b. more than we need. c. about the amount we need. d. very different from day to day.
A nursing instructor is preparing a presentation about key events and people that influenced the development of contemporary mental health and illness care
When describing the effects of World War II, which of the following would the instructor include? A) People began to view mental illness as more commonplace and acceptable. B) The biologic understanding of mental illness was almost fully developed. C) Deinstitutionalization occurred in response to the community health movement. D) Mental illnesses became categorized as psychoses or neuroses.
A schizophrenic client approaches a nurse with a look of distress and anguish on his face, saying, "Can't you hear him? It's the devil. He's telling me I'm going to hell." Which is the most appropriate response by the nurse?
A) "Did you take your medicine this morning?" B) "You are not going to hell. You are a good person." C) "There is no such thing as the devil. It's all in your mind." D) "The voices sound really distressing and scary, but I don't hear them."
A nurse in a healthcare facility is caring for a client who has a puncture wound to the chest caused by a foreign object. Which equipment should the nurse obtain?
A) Thermometer B) Manual breathing bag C) Peak flow meter D) Catheter