A nurse is performing a skin assessment for a client who is on bedrest. Which of the following actions should the nurse take to prevent a pressure injury?
Encourage client fluid intake of 2,500 mL daily.
Moisturize dry skin areas on the client every other day.
Place a dehumidifier in the client's room.
Apply a donut ring pillow under the client's sacral area.
The Correct Answer is A
A.
A. Adequate hydration helps maintain skin integrity and reduces the risk of pressure injuries by keeping the skin hydrated and resilient.
B. Moisturizing dry skin is important for overall skin health but may not directly prevent pressure injuries.
C. While maintaining a comfortable room environment is important for the client's overall well- being, a dehumidifier specifically may not directly prevent pressure injuries.
D. Donut ring pillows are not recommended for pressure injury prevention as they can actually increase pressure on vulnerable areas of the skin, leading to tissue damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.
A. Profuse milky white discharge: Bacterial vaginosis is characterized by a fishy odor and a thin, homogeneous, grayish-white discharge, not milky white. However, this option is the most closely associated with bacterial vaginosis among the choices provided.
B. Frequency and dysuria: These symptoms are more indicative of urinary tract infection rather than bacterial vaginosis.
C. Low-grade fever: Fever is not typically associated with bacterial vaginosis unless there is a secondary infection present.
D. Hematuria: Hematuria, or blood in the urine, is not a typical symptom of bacterial vaginosis.
Correct Answer is A
Explanation
A.
A. Burning sensation is a potential adverse effect of permethrin 5% cream application. It may cause transient discomfort or irritation at the site of application.
B. Discoloration is not a common adverse effect associated with permethrin cream application.
C. Photosensitivity is not typically associated with the use of permethrin cream.
D. Alopecia (hair loss) is not a common adverse effect of permethrin cream application.
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