Answer to Question 1
C
The frequency of repositioning should be individualized for the client; however, clients should be repositioned at least every two hours. The Registered Nurses Associated of Ontario (RNAO) recommends that a written turning and positioning schedule be used.
Clients able to sit in a chair should be limited to sitting for two hours or less.
Elevating the head of the bed to 30 degrees or less will decrease the chance of pressure ulcer de-velopment from shearing forces.
Pelvic muscle training may help prevent incontinence, but it is not the best intervention for maintaining the client's skin integrity.
Answer to Question 2
C
The first step in processing an ethical dilemma is determining whether the problem is an ethical one. The nurse who cannot figure out what is right is stating a characteristic of an ethical dilem-ma, which is that the problem is perplexing. The next step is to gather as much relevant infor-mation as possible.
The nurse who wants to know the legalities of the living will of a client is collecting some, but not all, data pertaining to the problem.
The statement My spiritual beliefs mandate that I continue to provide all the interventions within my scope of practice. describes the nurse's own beliefs.
The nurse is describing the problem in terms of her feelings.
Photograph of the skin eruptions associated with shingles.
(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Types of skin lesions.
Common skin signs are often evidence of an illness or disorder. An erosion or ulcer is an eating or ...
Measuring the client’s height with a platform scale