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Author Question: What preventative action can be taken to prevent skin trauma from shearing force? a. Slide the ... (Read 85 times)

Mollykgkg

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What preventative action can be taken to prevent skin trauma from shearing force?
 
  a. Slide the patient across the bed linens to change position.
  b. Apply generous amounts of lotion to the patient's skin.
  c. Lift the patient on draw sheets when pulling up in bed.
  d. Give the patient frequent tub baths to soften the skin.

Question 2

The admitting nurse gives the new long-term care facility resident a score of 20 on both the Norton Risk Assessment Scale and the Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident has
 
  a. a high probability of developing a pressure ulcer.
  b. a moderate risk of developing a pressure ulcer.
  c. a low risk of developing a pressure ulcer.
  d. at least one pressure ulcer at the time of admission.



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aruss1303

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Answer to Question 1

ANS: C
Lifting patients up clear of the bed linens to move or change position will reduce the risk of shear force injury.

Answer to Question 2

ANS: C
Scores of 20 on the Norton and Braden Scales indicate a very low probability of developing a pressure ulcer.




aruss1303

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