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VATI Funds Remediation

The nurse can implement three interventions to prevent skin breakdown for a client on strict bedrest: keep the skin clean and dry, do not massage or rub skin or bony prominences, and reposition the client every two hours. The nurse should teach a newly diagnosed diabetic client to warm the site with warm soapy water and rub or massage the area to ensure an adequate amount of blood is at the surface to minimize pain during glucose monitoring. Proper informed consent requires adequate disclosure, client understanding, voluntary consent, and client awareness of potential complications.

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2K views2 pages

VATI Funds Remediation

The nurse can implement three interventions to prevent skin breakdown for a client on strict bedrest: keep the skin clean and dry, do not massage or rub skin or bony prominences, and reposition the client every two hours. The nurse should teach a newly diagnosed diabetic client to warm the site with warm soapy water and rub or massage the area to ensure an adequate amount of blood is at the surface to minimize pain during glucose monitoring. Proper informed consent requires adequate disclosure, client understanding, voluntary consent, and client awareness of potential complications.

Uploaded by

estberry
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

A client is on strict bedrest, identify three (3) interventions the

nurse can implement to prevent skin breakdown.


- Keep the skin clean and dry
- Do not massage/rub skin/boney prominences
- Reposition client every 2 hours

Suggested Fundamentals Learning Activity: Pressure Ulcers


Describe the principle of client advocacy.
- Advocacy is role of the nurse in supporting clients, making sure
they are properly informed of their rights and have adequate
information on which to base health care decisions.
What are possible role problems in family functioning following an
acute event?
- Stress: number of stressors
- Family’s ability to cope
- Roles can change due to effect and progression of illness
- Types of role problems: Role conflict, Sick role, Role ambiguity,
Role strain, Role overload

Suggested Fundamentals Learning Activity: Family Dynamics

A newly diagnosed client with diabetes mellitus and is terrified to


perform glucose monitoring. Identify two (2) points the nurse
should teach the client to minimize pain.
- Warm up the site by cleaning the area with warm soapy water
- Rub or massage the area to ensure that an adequate amount of blood is at the
surface
- Rotate the testing site
Suggested Fundamentals Learning Activity:  Glucose Monitoring

Board Vitals 
Nursing Concept: Informed Consent
Verification that informed consent was obtained in an appropriate manner:
- Adequate disclosure of information 
- The client understood the information 
- There was voluntary consent on the client's part
- The client has full awareness of the potential complications 

Nursing Concept: Infection Control 


Proper way to clean contaminated blood pressure cuff:
- Put on gloves
- Wash in hot water with soap
- Use a brush to clean the cuff, if necessary 
- Rinse in hot water
- Hang dry
- Remove glove 

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