Which intervention is most important for a person who is in a ...

[maegan_martin]

Which intervention is most important for a person who is in a wheelchair for long periods?
 
  a. Reposition self every 2 hours.
  b. Lift weight on the arms of the chair every 15 minutes.
  c. Massage bony prominences of the but-tocks and hips.
  d. Use a donut device to keep weight off of the buttocks.

Question 2

The nurse explains to an obese patient that initial medically supervised weight reduction includes which components(s)? (select all that apply.)
 
  a. General health assessment
  b. Specialized exercise program
  c. Participation in a support group
  d. Stress reduction
  e. Surgery

[bobsmith]

Answer to Question 1

B
Lifting or off-loading weight every 15 minutes while in a wheelchair will reduce the threat of pressure ulcer. Tissue anoxia can result in less than 2 hours. Movement to shift weight every 15 minutes is most effective. Massage can damage delicate tissues in the at-risk patient. The donut device reduces circulation to the area compressed and is contraindicated.

Answer to Question 2

A, B, C, D
Dietary control and exercise are the main treatments for obesity. A general health assessment should be conducted before a patient is placed on a weight reduction diet. A provider will usually prescribe a lower-calorie diet and exercise. The patient is taught ways to change thinking about food and weight. Those with a BMI over 40 may have surgery to achieve weight reduction if they meet established criteria. Participation in a support group and behavior modification with some sort of reward for weight loss are part of the total treatment plan. Teaching stress reduction and alternate ways of coping are essential to success. Medications that suppress appetite or block fat absorption may be used on a short-term basis. Surgery would be a last resort.

[maegan_martin]

Thank you

[bobsmith]

Happy to help you