Author Question: The nurse is using Montgomery straps on a client following abdominal surgery. What are the best ... (Read 40 times)

cnetterville · **on:** Jul 16, 2018

The nurse is using Montgomery straps on a client following abdominal surgery. What are the best rationales for using Montgomery straps on the client?

1 . Avoids repeated tape removal
2 . Avoids clot formation within the blood vessels
3 . Minimizes skin irritation with each dressing change
4 . Minimizes mobility of the abdominal muscles
A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

Question 2

A teenage client who is paralyzed from the neck down following a skiing accident is placed on a special mattress to prevent skin breakdown. Which factor contributes to skin breakdown?

A) Age
B) High caloric intake
C) Immobility
D) Normal hydration level

Joc · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

B
Feedback:
When a client requires frequent dressing changes, Montgomery straps or large binders can be used to avoid repeated tape removal and subsequent skin irritation with each dressing change, but not avoiding blood clots within the blood vessels or minimizing mobility of the abdominal muscles.

Answer to Question 2

C
Feedback:
Immobility contributes to skin breakdown. Older age, not younger age, contributes to skin breakdown. Insufficient, not high, caloric intake contributes to skin breakdown. Inadequate hydration level contributes to skin breakdown.