A nurse is providing discharge teaching to a caregiver about preventing pressure ulcers in a bedridden patient. Which statement by the caregiver indicates a need for further teaching?
“I will reposition every 2 hours to prevent pressure injuries."
“I should apply warm compresses to any red areas to improve circulation and prevent ulcers."
“I will encourage a diet rich in vitamin C, zinc, and protein to support skin healing."
“I should use foam cushions and heel protectors to relieve pressure on bony prominences."
The Correct Answer is B
A. “I will reposition every 2 hours to prevent pressure injuries." Repositioning every 2 hours is a key preventive measure to relieve pressure and reduce the risk of pressure ulcers. This is an appropriate statement and does not indicate a need for further teaching.
B. “I should apply warm compresses to any red areas to improve circulation and prevent ulcers." This statement indicates a need for further teaching. Applying warm compresses to reddened areas can actually worsen tissue damage by increasing moisture and promoting skin breakdown. Instead, pressure should be relieved from the area immediately.
C. “I will encourage a diet rich in vitamin C, zinc, and protein to support skin healing." A diet high in protein, vitamin C, and zinc helps support skin integrity and promotes wound healing, making this a correct statement.
D. “I should use foam cushions and heel protectors to relieve pressure on bony prominences." Foam cushions and heel protectors help redistribute pressure, reducing the risk of pressure ulcers on bony areas like the sacrum and heels. This statement does not indicate a need for further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 22.5%. This overestimates the affected TBSA based on the Rule of Nines.
B. 13.5%. Using the Rule of Nines:
- Anterior chest = 9%
- Anterior left arm = 4.5%
Total TBSA = 9% + 4.5% = 13.5%
C. 9%. This would account only for the anterior chest but does not include the anterior left arm.
D. 18%. This would be correct if both the anterior and posterior chest were involved, but the question specifies only the anterior chest and left arm.
Correct Answer is A
Explanation
A. "I will wear non-slip socks while in the hospital to reduce my risk of falling." Wearing non-slip socks provides better traction and reduces the risk of slipping, which is especially important for patients with osteoporosis who are at higher risk for fractures.
B. "I will place small rugs throughout my house to prevent slipping." Small rugs can be a tripping hazard and increase the risk of falls. Patients should be advised to remove loose rugs or secure them with non-slip backing.
C. "At home, I should not wear my glasses nearby to avoid missteps." Patients should always wear their prescribed glasses to ensure clear vision and reduce the risk of tripping over obstacles. Poor vision can contribute to falls.
D. "I don't need to do weight-bearing exercises because they won't help my bones." Weight-bearing exercises, such as walking and resistance training, help maintain bone density and reduce the risk of osteoporosis-related fractures.
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.