Author Question: Which of the following clients would the nurse consider at risk for use of heat or cold ... (Read 37 times)

sarasara · **on:** Jul 22, 2018

Which of the following clients would the nurse consider at risk for use of heat or cold applications?

1. A 68-year-old client with advanced Alzheimer's disease
2. A 42-year-old client recently diagnosed with diabetes mellitus
3. A 24-year-old with rheumatoid arthritis
4. A 12-year-old diagnosed with a newly fractured right humerus

Question 2

The nurse is responsible for maintaining intact skin for the compromised client. Appropriate nursing priorities include:(Select all that apply) Standard Text: Select all that apply.

1. Checking pressure points regularly
2. Regular turning and repositioning schedules
3. Strict precautions to provide clean care to the wound
4. Delegation to unlicensed assistive personnel
5. Documenting care given

meltdown117 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1
Rationale: The confused client with Alzheimer's disease might have reduced ability to perceive the discomfort associated with heat and cold applications that indicate tissue damage, so the nurse must assess the area carefully.

Answer to Question 2

1,2,5
Rationale: The nurse checks pressure points regularly