What intervention should be included on a plan of care to prevent pressure ulcer development in health care settings?
A) Change position at least once each shift.
B) Implement a turning schedule every two hours.
C) Use ring cushions for heels and elbows.
D) Do not turn; use pressure-relieving support surface.
Ans: B
To protect clients at risk from the adverse effects of pressure, implement turning using an every-2-hour schedule in the health care setting. More frequent position changes may be necessary. Never use ring cushions or "donuts."
You might also like to view...
A client from Haiti seeks medical care for a chronic cough. When being assessed the client does not make eye contact and looks at the floor or away from the nurse. What does this behavior suggest?
1. No assumptions can be made. 2. The client is afraid of the nurse. 3. The client is an unreliable informant. 4. The client feels guilty because of waiting to seek medical care.
A client taking metronidazole complains of a metallic taste in her mouth, which decreases her appetite. The nurse should:
a. tell the client that this is a common adverse side effect of the medication. b. notify the health care provider immediately. c. instruct the client to stop taking the medication and call her doctor. d. recommend the client use mouthwash before meals.
The doses for water-soluble medications should be based on the ___________ ___________
______________ for obese patents. Fill in the blank(s) with correct word
Which activity should the nurse implement to decrease shearing force on the client with a stage II pressure ulcer?
A) Support the client from sliding in bed. B) Lubricate the area with skin oil. C) Improve the client's hydration. D) Pull client up under the arms.