A chronically ill, bedfast patient cared for in the home by family members has a stage II pressure ulcer over the coccyx. To prevent further tissue damage, the home care nurse instructs the family members that it is most important to

Provide the patient with a high-calorie, high-protein diet.

Change the patient's position every 2 hours, avoiding the supine position.

Change the patient's linen daily.

Record the size and appearance of the ulcer daily.

Answer and Explanation

The Correct Answer is B

A. While a high-calorie, high-protein diet is beneficial for wound healing, it is not the most critical factor in preventing further tissue damage.
B. Changing the patient's position every 2 hours is crucial to relieve pressure on the ulcer and prevent further tissue damage.
C. Changing the patient's linen daily is important for hygiene but does not directly prevent pressure ulcer progression.
D. Recording the size and appearance of the ulcer is important for monitoring, but preventing further damage through repositioning is more critical.

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Correct Answer is C

Explanation

Rationale:
A. The deltoid muscle is not recommended for IM injections in infants due to its small size.
B. The gluteus is not preferred due to the risk of hitting the sciatic nerve and because the muscle is not well-developed in infants.
C. The vastus lateralis muscle is the preferred site for IM injections in infants due to its size and low risk of complications.
D. "Upper thigh" is a vague term but typically refers to the vastus lateralis in the context of infant injections.

A. Vitamin B, B. Vitamin D C. Protein D. Calcium

Correct Answer is C

Explanation

A. Vitamin B is important for energy metabolism but not as directly involved in wound healing.
B. Vitamin D is important for bone health and immune function but not directly for wound healing.
C. Protein is essential for tissue repair and regeneration, making it crucial for wound healing.
D. Calcium is important for bone health but not directly involved in the wound healing process.

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A chronically ill, bedfast patient cared for in the home by family members has a stage II pressure ulcer over the coccyx. To prevent further tissue damage, the home care nurse instructs the family members that it is most important to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the preferred IM injection site for a 1-year-old?

Correct Answer is C

Explanation

A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

Correct Answer is C

Explanation

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