The nurse is reviewing the care of an 89-year-old client who has a stage I decubiti on the coccyx and right heel. The nurse provides instruction to the nurse aide assigned to care for the client.
What would the nurse include in the instruction to the nurse aide?
A) keep the bed elevated 45? or higher
B) turn the client on the side to remove sheets and clothing
C) use dry dressings to the heels
D) use soap to cleanse the skin
Question 2
An 82-year-old client is admitted for a hip fracture. During the postoperative recovery, the nurse notices a stage I pressure ulcer forming on the client's sacrum. To reduce the progression of this stage of ulcer, the nurse would
A) maintain the head of the bed at 45?.
B) apply a dry dressing to pressure ulcer.
C) maintain the head of the bed at 30? positioned on the right or left side.
D) apply a heat lamp to the area to increase circulation.
Concept Care Map
Nurse examining and measuring hematuria sample from client with a UTI
Culturally competent care
The posey bed care model
Course of infection by stage
Removing the sheet from underneath the client.