Question

1.A nurse is planning care to prevent the develpment of a pressure injury. Which intervention will be included to minimize shearing forces?

a. Use pillows to protect bone prominences

b. Teach client to make frequent, subtle changes in positions

c. turn and prop the client every 2 hours

d. limit the amount of time the head of the bed is elevated

2. Earlier in the interview, the client told the nurse they were experiencing intermittent nausea. which therapeutic communication technique will the nurse use to gather more information about the cause of the nausea?

a. Direct questoin

b. sequencing question

c. clarifying question

d. reflective question

3. Which action will the nurse take when applying negative pressure wound therapy.

a. irrigate  the wound using normal saline and clean technique.

b. test the seal of the dressing by attaching it to wall suction.

c. increase negative pressure until rate of drain is brisk

d. cut foam to shape of the wound and place it in the wound.

4.

Answer 1

1) a) use pillows to protect bone prominences - because the bony prominence are the more likely areas to develop pressure injuries like hips, knees and tailbone ( sacrum)

b) teach client to make subtle frequent changes in position- even slight movements like sitting or moving your legs and ankle can prevent development of pressure injuries .
c) turn and prop the client every 2 hrs - as it increases the blood flow so it will be beneficial

so all the above three options are good for preventing pressure injuries .
  
2 ) the nurse will ask a -

b) sequencing question - like did you eat anything outside ? Or are you pregnant? Or when is the nausea feeling more is it after eating or empty stomach ?