Author Question: The nurse instructs a group of older adults on how to maintain intact skin. What would be included ... (Read 85 times)

codyclark · **on:** Jul 11, 2018

The nurse instructs a group of older adults on how to maintain intact skin. What would be included in the teaching plan? (Select all that apply.)

a. Altering their body position every 30 minutes while sitting in the chair
b. Changing incontinent products when they become soiled
c. Using a pressure-relieving device like the donut to sit on
d. Routinely checking their feet for redness and indentations
e. Patting the skin dry after a shower or bath

Question 2

On the admission assessment of a resident to a long-term care facility, the nurse notes a painless area on the patient's coccyx that has partial skin loss. The nurse would record this as a stage _____ pressure ulcer.

Fill in the blank with the appropriate word.

Perkypinki · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, B, E
Frequent changes in body position, changing damp pads and briefs, and patting the skin dry will promote skin integrity. The donut causes pressure to surrounding area when used. Checking the feet routinely will alert the older adult to a potential problem but will not maintain skin integrity. Changing socks daily or applying lotion to the feet will aid in maintaining skin integrity.

Answer to Question 2

II 2