A nurse is assisting with discharge planning for an older adult client who will require dressing changes for a healing pressure ulcer twice daily at home. Which of the following services should the nurse recommend?
Adult day care
Long-term care
Wound care
Palliative care
The Correct Answer is C
A. Adult day care is a service that provides care and supervision to adults who need assistance during the day, often due to physical or cognitive impairments. However, it may not be specifically geared toward providing wound care services.
B. Long-term care typically involves comprehensive, ongoing assistance with activities of daily living for individuals who have chronic illnesses or disabilities. While wound care may be part of long-term care, it's not the primary focus, and it is often provided in various settings, including home care.
C. Wound care is the most appropriate recommendation for an older adult client requiring dressing changes for a healing pressure ulcer. This service may include home health nursing visits to perform the necessary wound care, monitor healing progress, and provide education to the client and their caregivers.
D. Palliative care is focused on providing relief from the symptoms and stress of a serious illness, and it can be appropriate for clients with chronic conditions. However, in this scenario, the primary need is for wound care rather than palliative care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Discard any remaining medication after 10 days:
This is the correct action according to the label. The label specifies that the reconstituted suspension should be discarded after 10 days, emphasizing the importance of not using the medication beyond that period for safety reasons.
B. Use 0.9% sodium chloride solution as a diluent:
The label does not mention the use of 0.9% sodium chloride solution. It specifically provides directions for adding water for reconstitution. Therefore, using sodium chloride solution is not consistent with the instructions.
C. Roll the vial gently in hands to mix the medication:
The label instructs to "Shake vigorously" to wet the powder, not to roll it gently. Shaking is the recommended method for mixing the medication according to the label.
D.Store the medication at room temperature following reconstitution:
The label clearly states that the reconstituted suspension "Must be refrigerated." Storing it at room temperature contradicts the provided instructions
Correct Answer is A
Explanation
A. Use an air-assisted device.
Using an air-assisted device, such as a hover mat or air mattress, is an appropriate measure when repositioning a client with a pressure ulcer. These devices help reduce friction and shear forces, minimizing the risk of further skin breakdown. It also aids in maintaining the skin's integrity during movement, making it a suitable choice for the prevention of pressure ulcers.
B. Position the bed in reverse Trendelenburg:
Positioning the bed in reverse Trendelenburg involves raising the foot of the bed higher than the head. This position is not specifically related to pressure ulcer prevention or repositioning. It may be used for other medical reasons, but it does not directly address the issue of pressure ulcer care.
C. Elevate the head of bed to a 45° angle:
While elevating the head of the bed is commonly used for various reasons, including respiratory support or preventing aspiration, it may not be directly related to the repositioning of a client with a pressure ulcer. The angle mentioned (45°) is not specifically associated with pressure ulcer care.
D. Lower the bed close to the ground:
Lowering the bed close to the ground may be a safety measure to prevent injuries from falls, but it does not address the specific needs of repositioning a client with a pressure ulcer. The focus in pressure ulcer care is typically on using appropriate devices and techniques to minimize friction and pressure on vulnerable areas of the skin.
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