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Author Question: The nurse caring for a comatose client does which of the following to prevent a pressure ulcer on ... (Read 109 times)

mp14

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The nurse caring for a comatose client does which of the following to prevent a pressure ulcer on the back of the client's head?
 
  1. Places a small pillow under the client's shoulders.
  2. Places the client in the prone position several times a day.
  3. Uses a gel floatation pad directly under the occiput when supine.
  4. Consistently turns the client's head to the right.

Question 2

When accessing a client's record, the nursing student is careful to:
 
  1. Use the instructor's password.
  2. Turn the monitor around when walking away from the computer.
  3. Leave notes and information in the facility's receptacle for papers containing PHI when finished for the day.
  4. Allow only the client's family to see the notes.



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lkanara2

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Answer to Question 1

3
Rationale: Gel pads are a very good way of protecting pressure points on the client, such as the back of the head. Placing a pillow under the client's shoulders acts to open the airway, but the head remains on the bed. Many clients cannot tolerate the prone position. Consistently turning the client's head to the right would avoid a pressure ulcer at the back of the head but cause a pressure ulcer on the right side of the head.

Answer to Question 2

3
Rationale: Passwords for electronic medical records should not be shared.





 

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