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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

A. Has limited vision at night when out of the home B. Is bedridden and requires assistance to get into a wheelchair C. Lives alone in a private residence with children about 5 miles away D. Would require a taxing effort to leave the home for a prescribed event

Correct Answer is D

Explanation

A. Limited vision at night does not necessarily meet the criteria for being homebound; the focus is more on the overall inability to leave home without considerable effort.
B. Being bedridden and requiring assistance to get into a wheelchair could indicate severe mobility issues, but it does not alone determine homebound status.
C. Living alone with children nearby does not impact the assessment of being homebound; it is more about the client's ability to leave the home.
D. Requiring a taxing effort to leave the home for a prescribed event meets the criteria for being homebound, as it demonstrates significant difficulty in leaving the home without considerable effort or assistance.

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Which nursing intervention best promotes skin integrity for hospice patients receiving care in the community?

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Naxlex Comprehensive Predictor Exams

Which nursing action best demonstrates cultural competence in end-of-life care?

Correct Answer is C

Explanation

The nurse is assessing a client to determine if the client meets the criteria for being homebound. Which of the following criteria would the nurse identify as evidence that a client is homebound?

Correct Answer is D

Explanation

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