A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

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.

A: This response indicates that the parents understand the need to manage the child's symptoms, which is important, but it does not directly relate to preventing the transmission of the disease to others.
B: Monitoring the child's temperature is a part of caring for someone with an illness, but like option A, it does not address the prevention of spreading the infection.
C: Ensuring the child stays hydrated is crucial when they are ill, especially with a throat infection, as it can help soothe the throat and keep the child comfortable. However, this practice is not specifically about preventing disease transmission.
D: This is the correct response that indicates an understanding of the teaching on preventing disease transmission. Streptococcal bacteria can contaminate toothbrushes, and using the same toothbrush after illness can lead to re-infection or spread the bacteria to others. Discarding the toothbrush after the infection can help prevent this.