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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
An avulsion fracture occurs when a piece of bone is torn away by a ligament or tendon, often due to a sudden and forceful contraction of the muscle.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, not being torn away by a ligament or tendon.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not due to ligament or tendon forces.
d. Impacted fracture: An impacted fracture occurs when the bone fragments are driven into each other, often seen in a fall or compression injury, not involving ligament or tendon tears.
Correct Answer is A
Explanation
It is essential for the patient to avoid moving the cast to relieve itching as this can lead to skin breakdown, discomfort, and improper healing. The nurse should instruct the patient to use cool air or apply ice packs on the outside of the cast to alleviate itching without disturbing the cast's positioning.
b. Using a hairdryer on a warm setting to dry the inside of the cast is not recommended. The heat can cause discomfort and may not effectively dry the interior of the cast, leading to skin irritation and potential infection.
c. Sticking objects under the cast to scratch the skin can damage the skin and introduce bacteria, increasing the risk of infection. The patient should be instructed not to insert any objects under the cast.
d. Removing the cast if it becomes loose is not within the patient's scope of practice. If the cast becomes loose or uncomfortable, the patient should seek immediate medical attention for evaluation and adjustment by a healthcare professional.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.