A Nurse Is Caring for a Client with a Stage

question 37

Multiple Choice

A nurse is caring for a client with a Stage II pressure ulcer on the coccyx who is at risk for additional pressure ulcers.Which nursing intervention is appropriate while caring for this client?

• A) Clean the pressure ulcer as needed.
• B) Use hydrogen peroxide as chemical debridement of wound bed as needed.
• C) Maintain the head of the client's bed at 30°.
• D) Avoid placing the client in the side-lying position.

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Definitions:

Kinship System

The social relationships that define and structure family connections among people, including duties, rights, and roles.

Clan System

A social structure used to organize families into larger groups sharing common ancestry and cultural traditions.

Ambilineal Descent

A form of descent in which individuals may inherit some family traits, affiliations, or belongings through either the maternal or paternal line, as selected by the individual, group, or society.

Bilateral Descent

A system of family lineage in which kinship and inheritance are traced through both parents' lines.