Immobility is a major risk for pressure ulcers. In caring for the patient who is immobilized, the nurse needs to be aware that:
Breaks in skin integrity are easy to heal
Preventing a pressure ulcer is more expensive than treating one
Immobilized patients can develop skin breakdown within 3 hours
Pressure ulcers are caused by a sudden influx of oxygen to the tissue
The Correct Answer is C
A. Breaks in skin integrity are not easy to heal, especially in immobilized patients, and can lead to serious complications.
B. Preventing pressure ulcers is typically less expensive than treating them once they occur.
C. Patients who are immobilized can indeed develop skin breakdown within a very short period, often within 2 to 3 hours of sustained pressure.
D. Pressure ulcers are primarily caused by prolonged pressure, not by an influx of oxygen to the tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Not all religions permit organ donation, and beliefs can vary widely.
B. Life support does not need to be removed before discussing organ donation; it may vary by situation.
C. The transplant coordinator operates under federal regulations that govern organ donation procedures.
D. The timing of organ donation is sensitive and does not solely depend on the autopsy.
Correct Answer is A
Explanation
A. Spirituality often encompasses a deeper understanding of oneself and a connection to something greater, which can be integral to holistic health care.
B. While coping is essential, spirituality often plays a significant role in the overall well-being of patients.
C. Spirituality is important, but it is typically part of a broader approach to coping with illness rather than more important than it.
D. Spirituality is not limited to formal religious practices and can have a profound impact on health care and patient experiences.
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