chapter 13
10. It is recommended that the Rotokinetic bed stay in the rotation mode for at least _______ hours a day.
ANS: 20
3. The nurse understands that an _____________________ using foam, air, water, or gel can be placed on top of the mattress to provide pressure relief.
ANS: Overlay
COMPLETION 1. ____________ are defined as localized injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction.
ANS: Pressure ulcers
9. The _______________ bed rotates and improves skeletal alignment with constant side-to-side rotation up to 90 degrees.
ANS: Rotokinetic
7. A full or double-wide _____________ can accommodate a patient up to 1000 pounds.
ANS: bariatric bed
4. A ______________ serves as an artificial layer of fat to protect bony surfaces.
ANS: flotation pad
8. Use of the low-air-loss bed is contraindicated in patients with ___________________.
ANS: spinal cord injury
6. The patient will be going home but still requires an air-fluidized bed. Before discharge, it will be necessary for the company that is leasing the bed to inspect the home for accessibility and ________________.
ANS: structural support
2. The major cause of pressure ulcers is ________________.
ANS: unrelieved pressure
11. After comparing the following support surfaces, the nurse realizes that an extremely obese patient should benefit from the use of a(n): a. bariatric bed. b. foam mattress. c. water mattress. d. air-fluidized bed.
ANS: A
13. After comparing the benefits of the following support surfaces, the nurse realizes that a patient with multiple trauma and/or spinal cord injury is expected to be placed on a(n): a. Rotokinetic bed. b. bariatric bed. c. flotation mattress. d. air-fluidized mattress.
ANS: A
3. What is the primary purpose for the use of a support surface? a. To reduce pressure b. To promote patient comfort c. To increase circulation d. To facilitate patient movement
ANS: A
2. The patient is admitted to the hospital. Part of the patient assessment will include: (Select all that apply.) a. use of an appropriate pressure ulcer risk scale. b. assessment of the patient's nutritional status. c. assessment of the patient's mobility status. d. assessment of the patient's fluid status.
ANS: A, B, C, D
3. Air-fluidized beds require the nurse to assess for which of the following? (Select all that apply.) a. The patient's fluid and electrolyte status b. The patient's financial status c. The structural strength of the room where the bed will be d. The room temperature
ANS: A, B, C, D
MULTIPLE RESPONSE 1. Factors that contribute to pressure ulcer formation include which of the following? (Select all that apply.) a. Friction b. Shear c. Turning every 2 hours d. Malnutrition e. Impaired mobility
ANS: A, B, D, E
10. A patient is on bed rest after sustaining injuries in a car accident. Which nursing action helps prevent complications of immobility? a. Decreasing fluid intake to ease dependent edema b. Turning the patient every 2 hours and providing a low-air-loss mattress c. Raising the head of the bed to maximize the patient's lung inflation d. Bathing and feeding the patient to decrease energy expenditure
ANS: B
4. When working with a patient who is being placed on an air mattress/overlay, the nurse should: a. apply the preinflated overlay over the standard mattress. b. bring any plastic strips or flaps around the corners of the bed mattress. c. administer an analgesic after the patient is moved onto the mattress. d. keep clamps or pins attached to the sheets to keep them in place over the mattress.
ANS: B
7. An air-suspension bed is contraindicated for the patient with: a. burns. b. traction. c. osteoporosis. d. respiratory insufficiency.
ANS: B
1. The patient is admitted to the unit with a stage 3 pressure ulcer. When the different types of support surfaces are compared, which would be most therapeutic for this patient? a. Foam mattress b. Gel overlay c. Air-fluidized bed d. Air mattress
ANS: C
12. Which of the following is a limitation of the bariatric bed? a. Lack of an in-bed scale b. The narrowness of the bed c. Lack of pressure reduction d. Increased liability to the institution
ANS: C
14. When teaching about the use of the Rotokinetic bed, the nurse informs the patient that the: a. bed will be stopped in one position most of the time. b. amount of rotation will be greater in the beginning. c. patient may experience a sensation of falling or light-headedness. d. bed is moved manually all of the time and will rotate head over feet.
ANS: C
2. What is the most important factor in preventing and treating pressure ulcers? a. Proper use of foam or air mattresses b. Proper utilization of an air-fluidized bed c. Frequent repositioning of the patient d. Proper use of a low-air-loss bed
ANS: C
5. The patient requires a support surface to help prevent pressure ulcers. He has a large open wound on his leg that is dressed daily. The nurse must choose which support surface would be most appropriate. What does the nurse realize when comparing the different types of support surfaces? a. Water mattresses are better for patients with open wounds. b. Air-surface beds cannot be used if the patient needs CPR. c. Water mattresses make it hard to regulate patient body temperature. d. Air mattresses reduce shear and friction.
ANS: D
6. The patient is admitted with a large stage 4 pressure ulcer on his coccyx. After comparing the benefits of the following support surfaces, the nurse would choose which of the following as most appropriate for this patient? a. Water mattress b. Gel overlay c. Foam overlay d. Air-fluidized bed
ANS: D
8. Of the following problems that may occur with the use of an air-fluidized bed, which is of greatest concern to the nurse? a. Nausea b. Anxiety c. Slight disorientation d. Insensible fluid loss
ANS: D
9. The nurse is caring for a patient who is in an air-fluidized bed. She places the patient in semi-Fowler's position using foam wedges, even though she realizes that: a. patients gain the greatest benefit from the prone position in an air-fluidized bed. b. for resuscitation, she may have to increase the air pressure of the bed to do CPR. c. she may have to increase the air pressure of the bed to turn the patient. d. the foam wedges may decrease the effects of the bed.
ANS: D
5. _________________ beds are for patients who are immobile or otherwise are confined to the bed
they support a patient's weight on air-filled cushions. ;ANS: Air-suspension