A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?
Massage the client's red bony prominences.
Assess the client's skin for increased coolness.
Reposition the client every 2 hr.
Keep the client's skin moist.
The Correct Answer is C
A. Massaging red bony prominences may cause further skin damage and increase the risk of pressure ulcers.
B. Skin should be assessed for warmth, redness, and integrity, but coolness is not necessarily an indicator of pressure injury.
C. Repositioning every 2 hours is essential for preventing pressure ulcers in bed-bound clients by relieving pressure on vulnerable areas.
D. Keeping the skin moist increases the risk of skin breakdown. It is important to keep the skin dry and clean.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Caffeinated beverages such as coffee, tea, and soda are known bladder irritants and can exacerbate urinary incontinence by increasing bladder contractions.
B. Dairy products are not commonly associated with bladder irritation.
C. Red meat does not irritate the bladder.
D. Fresh vegetables are generally not linked to bladder irritation.
Correct Answer is C
Explanation
A. Sanguineous drainage consists mostly of blood and is bright red, indicating active bleeding.
B. Serous drainage is clear or slightly yellowish and watery, often seen in healing wounds.
C. Serosanguineous drainage is a mixture of blood and serous fluid, which is watery with a pink or reddish tinge, common in early wound healing.
D. Purulent drainage is thick and cloudy, indicating infection, usually accompanied by an unpleasant odor.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.