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

A. Sealing non-washable items in airtight plastic bags is a recommended practice for items that cannot be washed. Sealing items such as stuffed animals, pillows, and other non-washable items in airtight bags for two weeks can help ensure that any lice or nits present are killed.
B. Spraying countertops and sinks with insecticide is not a recommended practice. Insecticides are not effective against head lice on surfaces and can be harmful if used improperly. It's important to focus on treating the infested individual and any items in direct contact with their head.
C. Pets do not need to be treated for head lice. Human head lice cannot live on pets and are not transmitted to or from animals.
D. Soaking all combs and hairbrushes in alcohol is not effective against lice and nits.

A. "I will keep my baby in an upright position after feedings." B. "I will have to feed my baby formula rather than breast milk." C. "I should position my baby side-lying during sleep," D. "My baby's formula can be thickened with oatmeal."

Correct Answer is A

Explanation

The practice as it helps prevent the backflow of stomach contents into the esophagus, which is beneficial for infants with gastroesophageal reflux.

B. This statement does not necessarily indicate an understanding of the teaching. Breast milk or formula can be used for infants with reflux; however, some formulas are designed to be easier to digest or less likely to cause reflux.

C. This is not generally recommended for infants with reflux. The safest position for all infants, including those with reflux, is on their back to reduce the risk of sudden infant death syndrome (SIDS).

D. This may be recommended in some cases to help reduce the symptoms of reflux. However, it's important to do this under the guidance of a healthcare provider to ensure it's done safely and appropriately. Thickening formula should be done with caution as it can increase the risk of choking.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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