What instruction should the nurse provide to a nursing assistant ...

[Yi-Chen]

What instruction should the nurse provide to a nursing assistant who is assigned to care for an older patient with a stage I pressure ulcer on the right heel?
 
  1. Apply a dry dressing to the site.
  2. Apply a donut under the right heal.
  3. Cleanse the area with tepid water without soap.
  4. Keep the head of the bed elevated to a 45-degree angle.

Question 2

An older patient is recovering from surgery to repair a fractured hip. What interventions will the nurse use to prevent the development of a pressure ulcer in this patient? Standard Text: Select all that apply.
 
  1. Avoid sitting unless for meals.
  2. Use pillows to protect the skin.
  3. Reposition the patient every 2 hours.
  4. Keep the skin dry with frequent bathing.
  5. Encourage independent position changes.

[ttt030911]

Answer to Question 1

3
Rationale: A dry dressing is not indicated for this type of pressure ulcer.

Answer to Question 2

1,2,3,5
Rationale: Interventions to prevent pressure ulcer formation include avoiding the sitting position unless it is for meals.

[Yi-Chen]

TYSM

[lkanara2]

Excellent