A cognitively impaired client spends hours a day involuntarily ...

[jace]

A cognitively impaired client spends hours a day involuntarily wringing her hands. Which of the following interventions is the most therapeutic as a means of minimizing this client's risk for fric-tion damage to her hands?
 
  1. Placing thin cotton mitts on her hands
  2. Frequently distracting her with conversation
  3. Regularly reminding her to stop wringing her hands
  4. Getting a prescription to minimize the compulsive behavior

Question 2

Although all of the following represent poor transfer techniques, which is most likely to result in a shearing injury to the skin of an older adult client?
 
  1. Only one staff member positioning an immobile client
  2. Allowing the heels to be dragged as the client is being positioned
  3. Failing to lower the head of the bed before moving the client upward
  4. Neglecting to use a lift sheet when moving the client to the head of the bed

[Brenm]

Answer to Question 1

ANS: 1
A friction injury occurs in clients who are restless or in those who have uncontrollable movements or any repetitive skin-against-skin motion. The remaining options are not as likely to be effective with a cognitively impaired client.

Answer to Question 2

ANS: 3
Shear is the force exerted parallel to skin resulting from both gravity pushing down on the body and resistance (friction) between the client and a surface. The remaining options result in friction damage to the client's skin.

[jace]

TYSM

[cpetit11]

Excellent