Author Question: An older adult client with friable skin and poor skin turgor has slipped down in the bed. Which ... (Read 116 times)

CQXA · **on:** Jun 25, 2018

An older adult client with friable skin and poor skin turgor has slipped down in the bed. Which action by the nurse is appropriate to safely reposition this client to prevent further skin breakdown?

A) Using the bed sheet to slide the client up in the bed
B) Placing the bed in reverse Trendelenburg
C) Using the client's arms to pull the client up in the bed
D) Lifting the client, using the client's legs and arms for assistance

Question 2

A client is diagnosed with acute allergic contact dermatitis over 25 of the body. Which prescription does the nurse anticipate for the client?

A) Calamine lotion to affected skin area as needed
B) Topical steroids applied twice a day for 2 to 3 weeks
C) Cool compresses with Burow's solution twice a day
D) Oral steroids for 7 to 10 days

tashiedavis420 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

The client is malnourished and has friable skin, which increases the potential for shearing forces. Shearing forces lead to skin breakdown and pressure ulcers. To prevent shearing of the client's skin, the nurse should lift the client up in bed, using the client's legs and arms for assistance. Pulling the client will cause skin shearing. Sliding on a bed sheet also has the potential to cause shearing because the skin may adhere to the sheet. Placing the bed in reverse Trendelenburg will not facilitate the appropriate adjustment of the client in the bed.

Answer to Question 2

Answer: D

Acute allergic contact dermatitis that covers more than 10 of the body surface area will require treatment with oral steroids for 7 to 10 days. Topical steroids are applicable when the affected area is less than 10 of the total body surface area. Calamine lotion and Burow's solution are indicated in the treatment of irritant contact dermatitis.