Author Question: What instruction should the nurse provide to a nursing assistant who is assigned to care for an ... (Read 49 times)

Yi-Chen · **on:** Jul 11, 2018

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 · **Reply #1 on:** Jul 11, 2018

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.