A care aide who works in a long-term care facility recognizes the ...

[notis]

A care aide who works in a long-term care facility recognizes the high incidence and prevalence of a stage I pressure ulcer in immobile older adults.
 
  Which of the following protocols in the facility would the care aide advocate changing?
  A)
  Residents with persistently low food intake are identified.
  B)
  Immobilized residents are turned every 2 hours during both day and night.
  C)
  Residents are frequently encouraged to increase their fluid intake.
  D)
  Wound dressings are applied promptly to all identified or potential pressure ulcers.

Question 2

A child comes in to show his parents (who are nurses) a blister on his foot from breaking in a new pair of shoes.
 
  The child wants to pop the blister to get all the fluid out of it, so it would not hurt so much when he puts on shoes/socks. The parents know that breaking the skin of the blister will put him at risk for
  A)
  fluid volume deficit.
  B)
  further edema due to loss of proteins.
  C)
  secondary infection.
  D)
  activity intolerance.

[chem1s3]

Answer to Question 1

Ans:
D

Feedback:

Early-stage pressure ulcers and potential pressure ulcers do not necessitate wound dressings and are better treated by turning, keeping skin dry, and removing pressure. Nutrition and hydration status are important factors, and individuals who cannot reposition themselves independently should be turned regularly.

Answer to Question 2

Ans:
C

Feedback:

A blister is a vesicle or fluid-filled papule. They can have a mechanical origin caused by friction from repeated rubbing on a single area of skin. Friction blisters most commonly occur on the palmar and plantar surfaces of the hands and feet where the skin is constantly exposed to mechanical trauma. Breaking the skin of a blister to remove the fluid is inadvisable because of the risk of secondary infection. Fluid volume deficit is highly unlikely with only one blister on the foot. The fluid in the blister is composed of proteins but unlikely to cause a shift in fluids due to only having one blister. The child can continue to be active but usually need a dressing/bandage placed over the blister for comfort.