What nursing intervention is essential to prevent skin breakdown and pressure ulcers in a patient with a long-term immobilization due to a fracture?
Performing passive range of motion exercises regularly
Applying petroleum jelly to the skin under the immobilization device
Using a lift sheet to reposition the patient
Providing a soft foam mattress overlay
The Correct Answer is C
Using a lift sheet to reposition the patient is essential to prevent skin breakdown and pressure ulcers in a patient with long-term immobilization. This helps redistribute pressure on bony prominences and reduces the risk of skin damage.
a. Performing passive range of motion exercises regularly is important for preventing joint stiffness and muscle atrophy but may not directly prevent skin breakdown and pressure ulcers.
b. Applying petroleum jelly to the skin under the immobilization device is not recommended, as it can cause skin maceration and compromise the device's fit and function.
d. Providing a soft foam mattress overlay can enhance patient comfort but may not be sufficient to prevent skin breakdown and pressure ulcers in patients with prolonged immobilization.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Cancer is a risk factor for pathological fractures because cancer cells can weaken bones and cause fractures, even with minimal trauma.
a. Hypertension: Hypertension is a condition characterized by high blood pressure and is not directly associated with an increased risk of fractures.
b. Diabetes mellitus: Diabetes mellitus is a metabolic disorder that affects blood sugar levels and does not directly increase the risk of fractures.
d. Asthma: Asthma is a respiratory condition that affects the airways and lungs and is not linked to an increased risk of fractures.
Correct Answer is C
Explanation
In a patient with an open fracture (compound fracture), there is a risk of infection due to the exposure of the bone to the external environment. The nurse should assess for signs of infection, such as redness, warmth, swelling, drainage, and increased pain at the fracture site.
a. Assessing joint range of motion is important, but it is not the priority in a patient with an open fracture, where preventing infection is the main concern.
b. Assessing neurological function in the unaffected limb is not directly related to the open fracture and may not be the priority at this time.
d. Assessing the quality of pain experienced by the patient is important for pain management but is not the priority over assessing for signs of infection in an open fracture.
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