A nurse is caring for a child in the PICU. To prevent pressure ulcers, which intervention should the nurse include in the child's plan of care?

Avoid the use of a draw sheet when turning

Post a turning schedule at the client's bedside

Vigorously massage lotion into bony prominences

Turn and reposition the client at least every 4 hours

Answer and Explanation

The Correct Answer is B

Turning and repositioning the client at regular intervals is essential for preventing pressure ulcers in pediatric clients, especially those in the PICU who may be immobilized or have limited mobility due to their condition or treatment. Repositioning helps relieve pressure on bony prominences and redistributes pressure on the skin, reducing the risk of pressure ulcers. Turning schedules should be individualized based on the child's condition, mobility, and risk factors for pressure ulcers.

A.   Avoid the use of a draw sheet when turning: Using a draw sheet can facilitate safe and smooth turning of the client without causing shear or friction forces. It helps distribute the weight evenly and reduces the risk of injury to the client or caregiver during the turning process. Therefore, avoiding the use of a draw sheet may increase the risk of pressure ulcers rather than prevent them.
B.   Post a turning schedule at the client's bedside: While posting a turning schedule may serve as a reminder for staff, it alone does not provide direct intervention to prevent pressure ulcers. The crucial aspect is implementing the turning schedule consistently and ensuring that the client is repositioned at appropriate intervals.
C.   Vigorously massage lotion into bony prominences: Massaging lotion into bony prominences can increase friction and shear forces on the skin, potentially causing tissue damage rather than preventing pressure ulcers. Additionally, vigorous massage may be uncomfortable or painful for the client, especially if they have fragile skin or existing pressure ulcers.

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Correct Answer is A

Explanation

Nephrotic syndrome is a renal condition characterized by increased permeability of the glomerular filtration barrier, leading to excessive protein loss in the urine. Cardinal features include : (proteinuria), hypoalbuminemia, edema, and hyperlipidemia.

B. Hypertension: While hypertension can occur in some cases of nephrotic syndrome, it is not a consistent finding.
C. Smokey brown urine: Smokey brown urine can be a sign of rhabdomyolysis or hemolysis, not nephrotic syndrome. In nephrotic syndrome, urine may appear foamy due to proteinuria
D. Polyuria: Polyuria is not a typical finding in nephrotic syndrome. Nephrotic syndrome is more commonly associated with oliguria (decreased urine output) due to decreased blood volume and activation of the renin-angiotensin-aldosterone system.

A. Admit the client to a private room. B. Measure head circumference every shift. C. Implement seizure precautions. D. Place the client in a semi-Fowler's position.

Correct Answer is B

Explanation

A. Admitting the client is necessary to prevent the spread of infection and provide a controlled environment for the child.
B. Measuring the head circumference is not typically necessary for bacterial meningitis as the sutures are closed raised intracranial pressure does not affect circumference.
C. Seizures can be a complication of bacterial meningitis, so this intervention is important to ensure the child's safety.
D. The semi-Fowler’s position helps to decrease ICP and facilitate breathing, which is crucial in the care of a child with bacterial meningitis.

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A nurse is caring for a child in the PICU. To prevent pressure ulcers, which intervention should the nurse include in the child's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Correct Answer is A

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A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Correct Answer is B

Explanation

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