A nurse is caring for a client who has limited mobility and is experiencing urinary incontinence. Which of the following actions should the nurse take to prevent skin breakdown?
Avoid using moisturizers on the client's skin.
Place the client on a timed voiding schedule.
Place the client in high-Fowler's position while in bed.
Wash urine off the client's skin with hot water and soap.
The Correct Answer is B
A. Avoid using moisturizers on the client's skin. Moisturizers are important for maintaining skin integrity, especially in clients with incontinence, to prevent skin breakdown.
B. Place the client on a timed voiding schedule. This is correct. A timed voiding schedule can help manage incontinence by reducing the frequency of wetness and thereby preventing skin breakdown.
C. Place the client in high-Fowler's position while in bed. High-Fowler’s position is not typically indicated for preventing skin breakdown and can increase pressure on the sacral area.
D. Wash urine off the client's skin with hot water and soap. Washing with hot water and soap can be harsh and irritating to the skin. It is better to use mild soap and lukewarm water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Consume at least 60 g of protein daily. Adequate protein intake is crucial for healing and maintaining muscle mass after bariatric surgery.
B. Limit each meal size to 1.5 cups (12 oz) after 2 weeks. Post-bariatric surgery, meal sizes should be much smaller to prevent overstretching the stomach pouch.
C. Use a straw to sip liquids the first day after surgery. Using a straw can introduce air and cause discomfort; it is generally not recommended.
D. Drink 4 oz of high-calorie liquids immediately before and after meals. High-calorie liquids should be avoided to prevent dumping syndrome and ensure nutrient-dense food intake.
Correct Answer is ["15"]
Explanation
To determine the correct dosage in mL:
The prescribed dose is 7.5 mg.
The concentration of the elixir is 2.5 mg/5 mL.
Calculate the volume to administer:
Volume(mL) = DesiredDose(mg)÷Concentration(mg/mL)
First, find the concentration in mg/mL:
Concentration=2.5mg÷5mL
= 0.5mg/mL
Next, calculate the volume:
Volume = 7.5mg÷ 0.5mg/mL
= 15mL
So, the nurse should administer 15 mL of the elixir.
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