Of the following interventions, which would be the most important ...

[waynest]

Of the following interventions, which would be the most important for preventing skin impairment in a mobile patient with local nerve damage?
 
  a. Turn the patient every 2 hours.
  b. Limit caloric and protein intake.
  c. Insert an indwelling urinary catheter.
  d. During a bath, assess for pain.

Question 2

The nurse is alert to patients who may be predisposed to obstructive sleep apnea. This includes which of the following individuals?
 
  a. Patients with heart disease
  b. Patients with respiratory infections
  c. Patients with nasal polyps
  d. Patients who are obese

[Dunkey]

Answer to Question 1

D
During a bath, assess the status of sensory nerve function by checking for pain, tactile sensation, and temperature sensation. When restricted from moving freely, dependent body parts are exposed to pressure that reduces circulation. However, this patient is mobile and therefore is able to change positions. Limiting caloric and protein intake may result in impaired or delayed wound healing. The presence of perspiration, urine, watery fecal material, and wound drainage on the skin results in impaired or delayed wound healing. However, a mobile patient can use bathroom facilities or a urinal.

Answer to Question 2

C

Feedback
A Individuals with heart disease may have sleep disorders. Women with heart disease have the majority of sleep disturbances.
B Respiratory infections do not predispose a patient to obstructive sleep apnea.
C Structural abnormalities such as nasal polyps, certain jaw configurations, enlarged tonsils, or a deviated septum predispose a patient to obstructive sleep apnea.
D Obesity, smoking and alcohol use, and a history of obstructive sleep apnea greatly increase the risk of developing sleep apnea, but they do not necessarily predispose the person to sleep apnea.

[waynest]

TY

[Dunkey]

You're welcome