What interventions should the nurse implement to prevent a ...

[sjones]

What interventions should the nurse implement to prevent a pressure ulcer in a critically ill child? (Select all that apply.)
 
  a. Nutrition consults
  b. Using skin moisturizers
  c. Turning the child every 2 hours
  d. Using plastic disposable underpads
  e. Using draw sheets to minimize shear

Question 2

The nurse is preparing to obtain a nasal washing from a child. What equipment should the nurse gather for the procedure? (Select all that apply.)
 
  a. Sterile water
  b. A sterile swab
  c. Syringe with tubing
  d. Sterile normal saline
  e. Tracheal suction catheter

[Ptupou85]

Answer to Question 1

ANS: A, B, C, E
Interventions found to prevent pressure ulcers in critically ill children include nutrition consults, using skin moisturizers, turning the child every 2 hours, and using draw sheets to minimize shear. Dryweave underpads, not underpads with plastic, should be used to reduce moisture.

Answer to Question 2

ANS: C, D
Nasal washings may be obtained to identify viral pathogens and guide therapy in some respiratory conditions. The child is placed supine, and 1 to 3 ml of sterile normal saline is instilled with a sterile syringe (without a needle) into one nostril. The contents are aspirated with a syringe with 5 cm (2 inches) of 18- to 20-gauge tubing. The saline is quickly instilled and then aspirated to recover the nasal specimen. A tracheal suction catheter would not trap the mucus. Normal saline is used, not sterile water. A sterile swab is used for a throat culture, not for nasal washings.