The Nurse Plans Care to Protect the Skin Covering an Immobile

question 9

Multiple Choice

The nurse plans care to protect the skin covering an immobile older person's greater trochanter.What is the nurse's priority intervention when the older person is positioned on the side?

• A)Turn the patient at least once every hour.
• B)Place a cushion between the patient's knees.
• C)Keep the patient's skin clean and dry.
• D)Use the Sims' position.

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Definitions:

Schizophrenia

A mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions.

Diagnostic Criteria

Standardized guidelines and conditions used by healthcare professionals to diagnose diseases and disorders.

DSM-5

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, a handbook used by healthcare professionals as the authoritative guide to diagnosing mental disorders.

Appraisal of Reality

The process of assessing and understanding one's environment and experiences to distinguish between what is real and what may be influenced by internal perceptions.