The home health nurse learns that an elderly patient isn't able to get to the grocery store. She doesn't have much food in her home, and eats and drinks little.
Most of her time is spent sitting in her chair watching television, often not realizing that she has bladder leakage. Which nursing actions would she implement to reduce the risk of developing a pressure ulcer? Select all that apply.
a. Help her to get out of the chair every 2 hours.
b. Change her clothing frequently.
c. Bath the patient using soap and water.
d. Promote intake of green tea throughout the day.
e. Encourage her to wear incontinence products.
Question 2
Which actions would the nurse take when emptying the patient's closed-wound drainage system? Select all that apply.
a. Don sterile gloves and personal protective equipment.
b. Inspect the drainage tube site and sutures.
c. Check that tubing to drainage system is intact.
d. Test the suction apparatus at prescribed pressure.
e. Document the color, type, and amount of drainage.
Client on IV patient-controlled analgesia (PCA).
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