The nurse is caring for an unconscious child. Skin care should include:
a. Avoiding use of pressure reduction on the bed.
b. Massaging reddened bony prominences to prevent deep tissue damage.
c. Using draw sheet to move child in bed to reduce friction and shearing injuries.
d. Avoiding rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier.
Question 2
Kimberly, age 3 years, has a fever associated with a viral illness. Her mother calls the nurse, reporting a fever of 102 F even though Kimberly had acetaminophen 2 hours ago. The nurse's action should be based on knowing that:
a. Fevers such as this are common with viral illnesses.
b. Seizures are common in children when antipyretics are ineffective.
c. Fever over 102 F indicates greater severity of illness.
d. Fever over 102 F indicates a probable bacterial infection.