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Questions and Answers
What is an essential part of the nurse's role in assisting patients at healthcare interactions?
Nurses should only develop a relationship with patients if they suspect abuse or neglect.
False
What should the nurse do daily to evaluate a patient's treatment plan who is immobile?
Assess the patient's skin integrity, comfort and pain level.
Patients who are immobile for long periods may have difficulty maintaining adequate ________ intake.
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Match the following actions to their appropriate purpose:
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What is the importance of maintaining skin hygiene for patients at risk of pressure injuries?
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Adequate nutrition and hydration are not important for maintaining skin integrity.
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What should a nurse do if barriers to adequate nutrition are identified?
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Maintaining or improving current ______ levels can help reduce the potential for pressure injuries.
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Which of the following factors is associated with the development of pressure injuries?
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Match the following preventive measures with their purpose:
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Depression can result from compromised human dignity for patients with pressure injuries.
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What should you do when the dietary intake of a patient remains inadequate after support and intervention?
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Study Notes
Preventing Pressure Injury Infections
- Maintaining skin hygiene is crucial. Keep the skin clean, dry, and moisturized.
- Ensure adequate nutrition, especially protein and carbohydrates. This helps maintain skin integrity and promotes healing.
- Early detection of pressure injuries allows for timely intervention.
- Contact a healthcare provider immediately upon noticing a pressure injury or skin integrity change.
- Encourage maintaining or improving activity levels. This increases independence, self-esteem, and reduces the risk of immobility and pressure injuries.
Preventing Nutritional Imbalance
- Although the link between nutrition and pressure injury development is not fully understood, poor intake of calories, protein, and iron is associated with their development.
- Assess dietary intake, offer nutritional supplements, and provide support during mealtimes to guarantee adequate nutrition.
- Address identified barriers to adequate nutrition.
- If dietary intake remains inadequate, consult with a dietitian for strategies to improve nutritional status.
Preventing Compromised Dignity and Low Self-Esteem
- Patients with limited mobility rely on caregivers for care.
- Inadequate interventions or neglect can compromise dignity, affecting mood and self-perception.
- This can lead to situational low self-esteem and depression.
- Assess patients for signs of abuse or neglect at every interaction.
- Build trust and rapport to facilitate open discussions about dignity and self-esteem.
- Educate patients and families about pressure injury prevention and promoting patient dignity.
- Assist patients and families in obtaining assistive devices for proper positioning.
Evaluation
- Regularly evaluate and modify treatment plans for immobile or bedridden patients, focusing on skin integrity, comfort, pain levels, and adherence to repositioning schedules.
- Monitor dietary intake for individuals on prolonged bed rest. Consulting a nutritionist or dietitian might be necessary.
- Educate mobile patients to contact the office if they notice potential pressure injuries or changes in skin integrity.
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Description
This quiz covers essential strategies for preventing pressure injury infections and nutritional imbalances. Learn how maintaining skin hygiene, ensuring adequate nutrition, and promoting activity levels can significantly reduce the risk of pressure injuries. Understand the importance of early detection and timely interventions.
