Deck 12: Support Surfaces and Special Beds

Question 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.

Answer 1

Pressure ulcers
The National Pressure Ulcer Advisory Panel (NPUAP)(NPUAP,2007a)defines pressure ulcers 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.

Question 2

The most important factor in preventing and treating pressure ulcers is:

A) The proper use of foam or air mattresses
B) The proper utilization of an air-fluidized bed
C) Frequent repositioning of the patient
D) The proper use of a low-air-loss bed

Answer 2

Frequent repositioning of the patient

Question 3

Which of the following patients is at greatest risk for developing a pressure ulcer?

A) A bedridden patient on a high-specification foam mattress who is being turned every 2 hours
B) A patient who had a laminectomy 3 days ago and is ambulatory
C) A comatose patient who is on an air-fluidized bed who is repositioned frequently
D) A patient on a standard hospital mattress who turns himself in bed and who is ambulatory during the day

Answer 3

A patient who had a laminectomy 3 days ago and is ambulatory

Question 4

A limitation of the bariatric bed is:

A) The lack of an in-bed scale
B) The narrowness of the bed
C) The lack of pressure reduction
D) The increased liability to the institution

Question 5

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

Question 6

The patient is admitted with a large stage IV 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

Question 7

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

Question 8

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
E) None of above

Question 9

When working with a patient who is being placed on an air mattress overlay,a 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

Question 10

The patient is admitted to the unit with a stage III 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) Low-air-loss bed
D) Air mattress

Question 11

The major cause of pressure ulcers is ________________.

Question 12

Of the following problems that may occur with the use of an air-fluidized bed,the nurse is most concerned with:

A) Nausea
B) Anxiety
C) Slight disorientation
D) Insensible fluid loss

Question 13

The patient requires a support surface to help prevent pressure ulcers.The patient has a large open wound on his leg that is dressed daily.The nurse must choose which support surface would be most appropriate.In comparing the different types of support surfaces,the nurse realizes that:

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 should be kept cool to lower body temperature
D) Air mattresses are lighter than water mattresses

Question 14

An air-suspension bed is contraindicated for the patient with:

A) Burns
B) Traction
C) Osteoporosis
D) Respiratory insufficiency

Question 15

When teaching about the use of the Rotokinetic bed,the nurse informs the patient that:

A) The bed will be stopped in one position most of the time
B) The amount of rotation will be greater in the beginning
C) The patient may experience a sensation of falling or light-headedness
D) The bed is moved manually all of the time and will rotate head over feet

Question 16

The patient is in an air-fluidized bed.The nurse notices that there is a tear in the filter sheet.She should:

A) Place an additional sheet on the bed
B) Administer sedation to the patient for agitation
C) Mend the tear with adhesive tape
D) Monitor the patient's intake and output

Question 17

The primary purpose for the use of a support surface is:

A) To reduce pressure
B) To promote patient comfort
C) To increase circulation
D) To facilitate patient movement

Question 18

Factors that contribute to pressure ulcer formation include which of the following? (Select all that apply.)

A) Friction
B) Shear
C) Malnutrition
D) Impaired mobility
E) None of above

Question 19

The nurse is caring for a patient who is in an air-fluidized bed.She places the patient in a 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

Question 20

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
E) None of above

Question 21

A full or double-wide_____________ can accommodate a patient up to 1000 lb.

Question 22

_________________ beds are for patients who are immobile or otherwise are confined to the bed; they support a patient's weight on air-filled cushions.

Question 23

The _______________ bed rotates and improves skeletal alignment with a constant side-to-side rotation up to 90 degrees.

Question 24

___________________ is the ability of a support surface to conform to irregularities such as clothing,bedding,and bony prominences,without causing a substantial increase in pressure.

Question 25

When focusing on pressure ulcer prevention,it is important to note that __________ refers to pressure being spread out over the surrounding area instead of directly over a bony prominence.

Question 26

An ______________ rests on top of the hospital mattress and uses foam,air,water,gel,or combinations of these products to provide pressure relief.

Question 27

Use of the bariatric bed is contraindicated in patients with ___________________.

Question 28

A ______________ serves as an artificial layer of fat to protect bony surfaces.

Question 29

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 ________________.

Question 30

It is recommended that the Rotokinetic bed stay in the rotation mode for at least _______hours a day.