*NURSING > QUESTIONS & ANSWERS > NSG 280 Case Study 18 Questions And Answers(Marked Exam)scored A; 2020/2021 (All)
Wrong questions = red 1. During change-of-shift report, the day RN states that Mr. K has developed redness on his buttocks and that his incontinence pad has been changed every 3 to 4 hours. What co... ndition does the RN suspect is most likely? 1. Pressure ulcer 2. Incontinence-associated dermatitis (IAD) 3. Skin lesion development 4. Skin tears from mechanical shearing force 2. The RN nursing supervisor is creating a care plan for Mr. K. Which key points should be included? Select all that apply. 1. Clean the affected area gently with minimal friction after each episode of incontinence. 2. Use regular soap and warm water to clean the patient. 3. Gently dry after each cleansing. 4. Apply a skin protectant to all skin that could come into contact with urine or stool. 5. Check skin protectant ingredients to be sure the patient is not allergic or sensitive. 6. Alternate use of alkaline and acidic skin protectants for rapid skin improvement. 3. Which instruction would the RN be sure to give the UAP for moving and repositioning Mr. K in bed? 1. Turn and reposition Mr. K every 4 hours. 2. Place Mr. K in supine position for napping. 3. Keep the head of the bed (HOB) elevated at least 90 degrees while Mr. K is awake. 4. Use a draw (pull) sheet to avoid friction skin tears. 4. The care of which patients could the RN delegate to the UAP? Select all that apply. 1. Mr. B 2. Ms. R 3. Mr. K 4. Ms. L 5. Mr. W 6. Ms. Q 5. Which patient should the RN assess first? 1. Ms. R 2. Mr. K 3. Mr. W 4. Ms. Q [Show More]
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