The nurse is planning care for a patient at risk for pressure ...

[fnuegbu]

The nurse is planning care for a patient at risk for pressure ulcer development. What should the nurse include in this patient's plan of care?
 
  Select all that apply.
  1. Initiate a frequent toileting schedule.
  2. Turn the patient every 2 hours.
  3. Massage pressure areas with lotion every 4 hours.
  4. Use inflatable donut rings to reduce pressure on the sacrum.
  5. Use hot water to cleanse the skin immediately after incontinence.

Question 2

A patient at risk for the development of skin cancer is discussing sun exposure prevention with the nurse. What information should be included in the discussion?
 
  Select all that apply.
  1. A higher-rated sunscreen is needed between 10 a.m. and 3 p.m.
  2. Sunscreen is needed even on cloudy days.
  3. Apply a sunscreen with an SPF of 15 or more.
  4. The higher the sunscreen rating, the less the protection provided.
  5. When swimming, sunscreen should be reapplied every 4 hours.

[ladyjames123]

Answer to Question 1

Correct Answer: 1, 2
Urine and feces are destructive to skin. A frequent toileting schedule will reduce periods of incontinence and potential for skin breakdown. The patient should be turned at least every 2 hours. Massage of pressure areas can cause friction and damage to problem skin areas. Inflatable donut rings are contraindicated, as they increase pressure and reduce perfusion to affected areas. Use of hot water for cleansing may cause skin injury.

Answer to Question 2

Correct Answer: 1, 2, 3
Sun exposure is greatest between 10 a.m. and 3 p.m. Sun exposure is possible on both cloudy and sunny days. The higher the level of the sunscreen's rating, the greater the protection, but a minimum of 15 is recommended. When swimming, sunscreen should be reapplied hourly.

[fnuegbu]

Gracias!

[scottmt]

TYSM