Author Question: Which of the following is likely to result in damage to the client's skin? (Select all that apply.) ... (Read 18 times)

jCorn1234 · **on:** Jul 23, 2018

Which of the following is likely to result in damage to the client's skin? (Select all that apply.)

1. Dry shaving a client in preparation for discharge
2. Removing the tape when discontinuing a heparin lock
3. Frequently positioning the client on her favorite right side
4. Applying moisturizing lotion on the heels of a diabetic client
5. Elevating the bed to 85 degrees so the client can easily watch a movie on TV
6. Waiting until the mechanical lift is available to transfer an immobile client

Question 2

The nurse is preparing a comatose client for oral hygiene. Unless contraindicated, the best posi-tion to place the client in is:

1. Sims'
2. Dorsal recumbent
3. Prone
4. Fowlers

kusterl · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1, 2, 3, 5
Weakening of the epidermis occurs by scraping or stripping its surface (e.g., use of dry razors, tape removal, or improper turning or positioning techniques). The remaining options are not likely to cause skin damage

Answer to Question 2

ANS: 1
Turning the client's head to the side allows secretions to drain from mouth instead of collecting in back of pharynx, preventing aspiration. Moving the client close to the side of the bed facili-tates proper body mechanics during the skill.