A nurse is caring for a child in the PICU. To prevent pressure ulcers, which intervention should the nurse include in the child's plan of care?
Avoid the use of a draw sheet when turning
Post a turning schedule at the client's bedside
Vigorously massage lotion into bony prominences
Turn and reposition the client at least every 4 hours
The Correct Answer is B
Turning and repositioning the client at regular intervals is essential for preventing pressure ulcers in pediatric clients, especially those in the PICU who may be immobilized or have limited mobility due to their condition or treatment. Repositioning helps relieve pressure on bony prominences and redistributes pressure on the skin, reducing the risk of pressure ulcers. Turning schedules should be individualized based on the child's condition, mobility, and risk factors for pressure ulcers.
A. Avoid the use of a draw sheet when turning: Using a draw sheet can facilitate safe and smooth turning of the client without causing shear or friction forces. It helps distribute the weight evenly and reduces the risk of injury to the client or caregiver during the turning process. Therefore, avoiding the use of a draw sheet may increase the risk of pressure ulcers rather than prevent them.
B. Post a turning schedule at the client's bedside: While posting a turning schedule may serve as a reminder for staff, it alone does not provide direct intervention to prevent pressure ulcers. The crucial aspect is implementing the turning schedule consistently and ensuring that the client is repositioned at appropriate intervals.
C. Vigorously massage lotion into bony prominences: Massaging lotion into bony prominences can increase friction and shear forces on the skin, potentially causing tissue damage rather than preventing pressure ulcers. Additionally, vigorous massage may be uncomfortable or painful for the client, especially if they have fragile skin or existing pressure ulcers.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying pressure to the bleeding site helps control minor bleeding episodes in individuals with hemophilia by promoting clot formation and reducing blood flow.
B. Applying heat to a bleeding site is not recommended for individuals with hemophilia. Heat can dilate blood vessels, increasing blood flow and potentially worsening the bleeding.
C. Elevating the affected part above the level of the heart can help reduce blood flow to the area and minimize swelling.
D. Rest is important during a bleeding episode to minimize movement and reduce the risk of further injury or bleeding.
Correct Answer is A
Explanation
Children with CF often have pancreatic insufficiency, leading to malabsorption of nutrients. Pancreatic enzymes help digest fats, proteins, and carbohydrates, allowing for better absorption of nutrients from food.
B. This response is not specifically related to the nutritional management of CF. While individuals with CF may have increased salt loss through sweat and may need to consume more salt to maintain electrolyte balance, restricting salt is not typically part of CF nutrition management.
C. Hydration is important for individuals with CF to help maintain normal mucus consistency and prevent dehydration, especially during times of increased respiratory secretions.
D. Children with CF often have increased energy needs due to the increased work of breathing and malabsorption of nutrients. Therefore, it is important to provide a diet that is high in calories and nutrient-dense.
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