Author Question: The client has a stage IV pressure ulcer. In accordance with the Agency for Healthcare 1. Foam ... (Read 31 times)

dejastew · **on:** Jul 23, 2018

The client has a stage IV pressure ulcer. In accordance with the Agency for Healthcare

1. Foam mattress
2. Air-fluidized bed
3. Rotokinetic bed
4. Static support surface

Question 2

The nurse is aware that application of cold is indicated for the client with:

1. Menstrual cramping
2. An infected wound
3. A fractured ankle
4. Degenerative joint disease

ms_sulzle · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2
Air-fluidized beds are recommended for clients with burns or multiple stage III or stage IV pressure ulcers. A foam mattress is recommended for pressure reduction in clients at high risk for developing a pressure ulcer. A Rotokinetic bed is recommended for clients who are at risk for or have developed atelectasis and/or pneumonia. A static support surface is not recommended for a client with a stage IV ulcer. It is used for clients at high risk for developing a pressure ulcer.

Answer to Question 2

ANS: 3
Direct trauma such as fractures or sprains may be treated with cold. The application of cold can initially diminish swelling and pain. Application of heat to reduce muscle tension and reduce pain would be more appropriate for the client with menstrual cramping. The application of cold is not indicated for the client with an infected wound because it reduces the blood flow to the area. This would limit the number of macrophages to clear the area of bacteria and would lessen the nutrient supply to the already impaired tissue. The effects of heat application would be more beneficial to the client with degenerative joint disease.