An elderly client with friable skin and poor skin turgor has ...

[fagboi]

An elderly client with friable skin and poor skin turgor has slipped down in the bed. Which of the following should the nurse do to reposition the client safely in the bed?
 
  1. Use the client's arms to pull the client up in the bed.
   2. Use the bed sheet to slide the client up in the bed.
   3. Place the bed in reverse Trendelenburg.
   4. Lift the client, using the client's legs and arms as assistance.

Question 2

An adult in a restaurant appears to be choking and is grabbing at his throat. What should be done first to help this person?
 
  a. Ask the victim, Are you choking?
  b. Wrap your arms around the victim's waist.
  c. Call 911.
  d. Press your fist into the victim's abdomen with quick, upward thrusts.

[frre432]

Answer to Question 1

4. Lift the client, using the client's legs and arms as assistance.

Rationale:
The client is malnourished and has friable skin, which increases the potential for shearing forces. Shearing forces lead to skin breakdown and pressure ulcers. To prevent shearing of the client's skin, the nurse should lift the client up in bed, using the client's legs and arms as assistance. Pulling the client will cause skin shearing. Sliding on a bedsheet also has the potential to cause shearing since the skin may adhere to the sheet. Placing the bed in reverse Trendelenburg will not facilitate the appropriate adjustment of the client in the bed.

Answer to Question 2

A
Complete airway obstruction is often the result of aspiration of food or some other foreign object into the trachea. The presence of a complete airway obstruction is characterized by the inability to speak or cough. The rescuer should ask the victim, Are you choking?

[fagboi]

Excellent

[FergA]

TYSM