« previous next »

Author Question: A patient being treated for a stage 3 pressure ulcer is demonstrating delayed healing. What ... (Read 80 times)

danielfitts88

  • Hero Member
  • *****
  • Posts: 535
on: Jun 25, 2018
A patient being treated for a stage 3 pressure ulcer is demonstrating delayed healing. What information in the patient's medical record and history would explain this delay?
 
  Select all that apply.
 
  1. The patient had total knee replacement 7 years ago.
  2. The patient takes insulin for control of type 2 diabetes mellitus.
  3. The patient was diagnosed with peripheral vascular disease 5 years ago.
  4. The patient was prescribed steroids for treatment of chronic lung condition.
  5. The patient takes acetaminophen 650 mg twice a day for arthritis pain.

Question 2

During a home visit the nurse determines that family members would benefit from receiving the hepatitis B vaccination. Which family members did the nurse identify as being at risk for this illness?
 
  Select all that apply.
 
  1. 29-year-old female with ovarian cysts
  2. 21-year-old male with Down syndrome
  3. 63-year-old male with end-stage renal disease
  4. 57-year-old female newly diagnosed with diabetes mellitus
  5. 32-year-old male with liver disease from acetaminophen abuse


scikid

  • Sr. Member
  • ****
  • Posts: 300
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 2, 3, 4

Chronic diseases may impair healing. High blood glucose levels impair chemotactic and phagocytic function. Arterial and venous disorders impair the delivery of oxygen and nutrients to heal tissues and remove toxins, bacteria, and other waste products from the wound area. Drug therapy with corticosteroids may suppress the immune and inflammatory responses and delay healing. A history of total knee replacement would not delay healing in this patient. Acetaminophen is not identified as a medication that adversely affects healing.

Answer to Question 2

Correct Answer: 3, 4, 5

Hepatitis B (HB) vaccine is recommended for people newly diagnosed with diabetes mellitus who are under age 60 years and for those in high-risk populations such as patients with end-stage renal disease or chronic liver disease. The vaccine is not recommended for those with ovarian cysts or Down syndrome.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

danielfitts88

  • Hero Member
  • *****
  • Posts: 535
Reply #2 on: Jun 25, 2018
Correct answers!


scikid

  • Sr. Member
  • ****
  • Posts: 300
Reply #3 on: Jun 25, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

When using an interpreter, the nurse should pose questions directly to the patient, not the interpre When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Using a sphygmomanometer to measure blood pressure. Using a sphygmomanometer to measure blood pressure.
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
Causes of Error in Blood Pressure Readings Causes of Error in Blood Pressure Readings
A weather map depicting the sea-level pressure distribution for March 4, 1994. A weather map depicting the sea-level pressure distribution for March 4, 1994.
Development of Foliation due to Directed Pressure Development of Foliation due to Directed Pressure
Video: Blood Test Basics

For a complete list of videos, visit our video library