/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 474 A client had polio as a child an... [FREE SOLUTION] | 91影视

91影视

Log out

Learning Materials

Features

Discover

Chapter 34: Problem 474

A client had polio as a child and now wears a leg brace. A pressure sore has formed under the leg brace. Instructions for this client should include: A. wear the brace only 6 hours per day. B. do not wear the brace until the skin has healed. C. apply a dressing over the sore to protect it from the brace. D. cover the wound with petroleum prior to putting on the brace.

Short Answer

Expert verified
B. Do not wear the brace until the skin has healed.

Step by step solution

01

Identify the Problem

The client has developed a pressure sore under the leg brace. This indicates constant pressure and friction.
02

Review the Options

Evaluate each provided option: A. Wear the brace only 6 hours per day.B. Do not wear the brace until the skin has healed.C. Apply a dressing over the sore to protect it from the brace.D. Cover the wound with petroleum prior to putting on the brace.
03

Consider Healing Time and Pressure

Option A suggests limited time wearing the brace which reduces pressure but it might not be sufficient for the sore to heal.Option B suggests not wearing the brace until the skin has healed, allowing time for healing without further pressure.Option C suggests using a dressing but the brace might still cause pressure.Option D suggests applying petroleum, which might not prevent pressure but keeps the area moist.
04

Select the Optimal Option

Preventing further damage and allowing healing is crucial. Therefore, the best option is:B. do not wear the brace until the skin has healed.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91影视!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Pressure Sore Management
Pressure sores, also known as bedsores or decubitus ulcers, can develop when constant pressure is applied to the skin, often over bony areas. The main goal in managing pressure sores is to relieve the pressure that caused the sore and promote healing.

In this scenario, the pressure sore has developed under the client's leg brace, indicating the brace's contact and friction points need to be addressed.
  • First, it's vital to remove the source of pressure. According to the provided solution, the optimal strategy is not to wear the brace until the skin has healed.
  • Always keep the sore clean and covered with a suitable dressing that promotes moisture balance but does not increase pressure.
Wound care involves regular cleaning, possibly with saline, and changing dressings to prevent infection and promote optimal healing conditions.
Nursing Interventions
Effective nursing interventions for patients with pressure sores include monitoring, assessment, and proactive care steps.
Nurses should:
  • Regularly assess the skin for signs of pressure sores, especially in areas where braces or other medical devices come in contact.
  • Encourage patients to report any signs of discomfort or early symptoms of pressure sores.
  • Implement and follow a routine wound care plan which includes cleaning, applying dressings, and possibly using prescribed topical treatments.
  • Coordinate with other healthcare professionals to customize interventions based on the patient's specific needs and history.
Nurses play a crucial role in educating patients and their families on the importance of relieving pressure regularly and taking care of their skin.
Patient Education
Effective patient education helps ensure that patients understand the importance of proper skin care and can take proactive steps to prevent pressure sores.
In the context of the leg brace:
  • Instruct the patient on the need to frequently adjust the brace or remove it to relieve pressure.
  • Educate the patient on the signs and symptoms of pressure sores and the importance of early detection.
  • Teach the patient about proper skincare routines, emphasizing the importance of keeping the skin clean and dry where the brace contacts the skin.
  • Explain the importance of allowing the sore to heal completely before resuming use of the brace.
By providing detailed instructions and answering questions, healthcare providers can empower patients to actively participate in their care and prevent future sores.
Skin Integrity
Maintaining skin integrity is fundamental in nursing care and patient management, especially for those with medical devices like leg braces.
Important tips for preserving skin integrity:
  • Ensure regular movement and repositioning to prevent prolonged pressure on any one area.
  • Advise the patient to use barrier creams or protective products that can help shield the skin from friction and moisture but ensure the product does not create additional pressure or inhibit healing.
  • Promote a balanced diet, rich in vitamins and minerals that support skin health, such as Vitamin C and Zinc.
  • Regularly inspect the skin for any signs of damage and promptly address any issues that arise.
Skin integrity often involves a combination of preventive measures and active treatment strategies to ensure overall skin health and prevent complications.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

Which precaution measures would be instituted when a client has a Mycoplasma pneumoniae infection? (Mark all that apply.) A. ___ Client is placed in a private, negative airflow pressure room. B. ___ Client is placed in a private room or with other clients with infection caused by the same organism. C. ___ Use mask at all times while in the client鈥檚 room. D. ___ Use mask when working within 3 feet of the client E. ___ Use gown and protective barriers when giving direct care. F. ___ Mask on client if transported out of room. G. ___ Use gloves at all times when caring for clients. H. ___ Use gloves when there is risk of exposure to blood or body fluids.

A nurse is working in the labor and delivery unit. The nurse assesses all the laboring clients and notes that one has a small baby in breech position, one has a large baby who is engaged, one has an average sized infant in a transverse lie, and the last has an average sized infant with a floating head. Which client will the nurse definitely have to prepare for a cesarean delivery? The client with the A. small baby in breech position B. large baby who is engaged C. average sized infant in transverse lie D. average sized infant with a floating head

When planning care for a client withdrawing from cocaine, which is a critical nursing intervention? A. Monitor for seizures B. Protect from self harm C. Orient to time and place D. Monitor for hypotension

The nurse is caring for a client with Alzheimer鈥檚 disease (AD), the most common form of dementia in older adults. Which factors are associated with AD? Select all that apply: A. Acute onset B. Impaired memory C. Confusion D. Difficulties with language E. Reversible organic disorder F. Amyloid plaques

The mother of a preschool child tells the child, 鈥淚f you don鈥檛 behave, I鈥檒l have the nurse give you a shot.鈥� The best nurse鈥檚 response would be to: A. ignore the comment as it is obviously not true. B. reply, 鈥淥h yes, you better be good while you are here.鈥� C. wait until the mother leaves the room and then tell the child that this was incorrect. D. reply, 鈥淥h, no, I only give shots when the doctor thinks it will make you better.鈥�
See all solutions

Recommended explanations on Biology Textbooks

Cellular Energetics

Read Explanation

Microbiology

Read Explanation

Chemistry of Life

Read Explanation

Biological Structures

Read Explanation

Astrobiological Science

Read Explanation

Cells

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.