Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

A nurse is caring for an elderly female with a right-sided weakness. The client is immobile and bed-bound for most of the day. The nurse implements which intervention for the prevention of skin breakdown and development of pressure ulcers in the elderly?
  1. Increase the client’s intake of carbohydrates.
  2. Application of alcohol to the skin.
  3. Use antibacterial soaps during bathing.
  4. Use layer of cornstarch on sheet.
Explanation
Answer: D - A layer of cornstarch on the sheet can help avoid trauma to the skin. The nurse should keep the surface smooth and free from wrinkles. The client is encouraged to increase her intake of protein for building muscles and other tissues. Alcohol and antibacterial soap are irritating to the skin. The client is instructed to use products containing mild and non-drying chemicals.
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