Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?
Providing medications to manage pain and discomfort associated with pressure ulcers.
Using an air mattress to reduce pressure on bony prominences.
Applying lotion to dry skin areas twice daily.
Educating family members about proper turning and repositioning techniques.
The Correct Answer is B
A. Providing medications for pain and discomfort helps manage symptoms but does not directly address skin integrity.
B. Using an air mattress is effective in reducing pressure on bony prominences, thereby preventing pressure ulcers and promoting skin integrity.
C. Applying lotion helps with skin hydration but does not address the pressure that can lead to skin breakdown.
D. Educating family members about turning and repositioning is important but does not provide the physical support needed to reduce pressure on the skin as effectively as an air mattress.
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Related Questions
Correct Answer is C
Explanation
A. Malaria chemoprophylaxis is a form of primary prevention, as it aims to prevent the occurrence of malaria before exposure or infection.
B. Physical therapy following shoulder surgery is related to tertiary prevention, focusing on rehabilitation and improving function after an injury or illness.
C. Contact tracing of a salmonella outbreak is an example of secondary prevention, as it involves identifying and managing individuals who have been exposed to or are infected with the disease to prevent further spread.
D. Pneumocystis carinii chemoprophylaxis for people with AIDS is a form of primary prevention aimed at preventing the initial occurrence of pneumonia in immunocompromised individuals.
Correct Answer is B
Explanation
A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.
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