What intervention should be included on a plan of care to prevent ...

[luvbio]

What intervention should be included on a plan of care to prevent pressure ulcer development in health care settings?
 
  A) Change position at least once each shift.
  B) Implement a turning schedule every two hours.
  C) Use ring cushions for heels and elbows.
  D) Do not turn; use pressure-relieving support surface.

Question 2

A nurse is caring for a client who is two days postoperative after abdominal surgery. What nursing intervention would be important to promote wound healing at this time?
 
  A) Administer pain medications on a p.r.n. and regular basis.
  B) Assist in moving to prevent strain on the suture line.
  C) Tell the client that a mild fever is a normal response.
  D) If a scar forms over a joint, it may limit movement.

[brbarasa]

Answer to Question 1

Ans: B
To protect clients at risk from the adverse effects of pressure, implement turning using an every-2-hour schedule in the health care setting. More frequent position changes may be necessary. Never use ring cushions or donuts.

Answer to Question 2

Ans: B
The proliferative phase of wound healing begins within two to three days of the injury. Collagen synthesis and accumulation continue, peaking in five to seven days. During this time, adequate nutrition, oxygenation, and prevention of strain on the suture line are important client care considerations.