A wheelchair-bound client complains of the hammock effect each ...

[LaDunn]

A wheelchair-bound client complains of the hammock effect each time he sits in the wheelchair. Which of the following devices should the nurse place in the wheelchair to prevent the hammock effect?
 
  A) A buttock board
  B) An upholstered cushion
  C) A gel or foam cushion
  D) A plastic molded support

Question 2

In a nursing unit, the nurse-in-charge delegates the tasks in the shift. A nursing assistant is assigned to make beds and help the clients ambulate.
 
  Another nurse is assigned to assist clients with changing positions, and another nurse to administer drugs. Which type of nursing care is being implemented? A) Team nursing
  B) Functional nursing
  C) Primary nursing
  D) Nurse-managed care

[bigcheese9]

Answer to Question 1

C
Feedback:
The nurse should place gel and foam cushions in the wheelchair to prevent the hammock effect, or the posterior and lateral compression, that occurs when sitting in a slinglike seat. Gel is an alternative substance used to fill cushions and mattresses. It differs from foam in that it suspends and supports the body part. Rigid supports are not used as they would increase the risk of skin breakdown.

Answer to Question 2

B
Feedback:
Functional nursing is a pattern in which each nurse on a client unit is assigned specific tasks. The nurse-in-charge delegates the major responsibilities to the staff and continuously does the assessment and evaluation of nursing care provided by the staff members. The team nursing pattern has many nursing staff providing care in a group. Primary nursing is different from all, with the admitting nurse responsible for nursing care of an individual client. Nurse-managed care is a pattern where the nurse manager plans the nursing care of clients based on their type of case and medical diagnosis.