Mike Year Client Assignment Help: How to Answer This Question
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Original Question
Mike, a 77-year-old client, has a neurological disorder causing decreased sensation and loss of function of the lower extremities. Mike has limited use of the upper extremities and uses a motorized wheelchair for mobility. Mike can eat independently and partially perform bathing. Today, Mike is in the clinic for an endoscopy procedure. ​Nursing Notes Time NOTES 08/22/20XX 06:37 Client resting on stretcher in low-Fowler’s position. 20g IV placed in right lower arm. Client states,” I am hungry, and those people have not let me eat in over 24 hours. They are starving me.” Vital signs within normal range. Client denies pain and is laughing with the nurse at bedside. 08/22/20XX 07:10 Anesthesia at bedside with client. 08/22/20XX 08:55 Informed client of the delay in starting the procedure. Client denies pain. Question 3 / 3 Note: You will not have another attempt on this question if you navigate away. Please take your time answering this question before moving forward. Which interventions should the nurse implement to prevent a pressure injury? Select all that apply.​Use a skin assessment tool per policy. ​Tell the client to inform the nurse of any tingling in the lower extremities. ​Inspect the skin around medical devices. ​Turn the client every two hours.​Increase the frequency of skin assessments.​Pad the bony areas of the client’s body with pillows.​
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