Yolanda is a nursing student caring for Mrs. Gentry, a ...

[altibaby]

Yolanda is a nursing student caring for Mrs. Gentry, a 77-year-old patient who has been hospitalized after a cerebrovascular accident. While bathing Mrs. Gentry, she noted a reddened area over her coccyx. What is the best thing for Yolanda to do?
 
  A. Tell the health care provider about the area.
  B. Massage over the skin to restore circulation.
  C. Rub the area with a moisturizer.
  D. Reposition Mrs. Gentry more frequently.

Question 2

A nurse can best auscultate the point of maximum impulse (PMI) in a teenager at the _____ intercostal space, _____ midclavicular line.
 
  A. fifth; left
  B. third; left
  C. fifth; right
  D. third; right

[AmberC1996]

Answer to Question 1

D
Perform skin assessment daily, paying special attention to the bony prominences. Do not massage reddened areas because reddened areas indicate tissue injury. Massage to these areas further injures the tissue by causing breaks in the tissue capillaries. Positioning interventions reduce pressure and shear to the skin. You change the immobilized patient's position according to activ-ity level, perceptual ability, and daily routines.

Answer to Question 2

A
An infant's PMI is usually found at the third or fourth intercostal space and is easy to palpate because of the child's thin chest wall. The PMI is sometimes difficult to find in older adults because the chest deepens in its anteroposterior diameter.

[altibaby]

Gracias!

[bassamabas]

Thanks for the timely response, appreciate it