The nurse is making a home visit to an elderly patient with a ...

[Haya94]

The nurse is making a home visit to an elderly patient with a history of pressure ulcers. The patient lives with her son, daughter, an four grandchildren.
 
  The daughter-in-law, who is home today, tells the nurse, She has to be able to take care of herself because the job and the children keep me very busy. I make sure there is food for her to eat, but she is still losing weight. I don't know what else I can do.. The nurse proceeds to conduct an assessment of the patient. Which of the following assessed factors would indicate to the nurse that the patient's wound will not heal? Select all that apply. a. Walks independently
  b. Eats independently
  c. Wound is over 3 months old
  d. Incontinent of feces
  e. Incontinent of urine
  f. Has lost more than 5 percent of her weight in the past 90 days

Question 2

The six areas of evidence-based practice interventions identified in IHI's 100,000 Lives campaign included which of the following? Select all that apply.
 
  a. Deploy Rapid Response Teams
  b. Reduce Surgical Site Infections
  c. Prevent Adverse Drug Events through Medication Reconciliation
  d. Treat Central Line Infections
  e. Reduce the Number of Ventilator-Associated Pneumonias
  f. Deliver Reliable Evidence-Based Care for Acute Myocardial Infarction

[brittiany.barnes]

Answer to Question 1

C, D, E, F
The fact that the client walks and eats independently is a positive; however, the fact that the client has
lost more than 5 percent of her baseline weight in the past 90 days, is incontinent of both feces and
urine, and the wound is over 3 months old would indicate that the wound will not heal.

Answer to Question 2

A, C, F
The six areas were Deploy Rapid Response Teams, Deliver Reliable Evidence-Based Care for Acute
Myocardial Infarction, and Prevent Adverse Drug Events through Medication Reconciliation. Other
goals identified included Prevent Central Line Infections, Prevent Surgical Site Infections, and Prevent
Ventilator-Associated Pneumonia. The goal was to prevent these last three from occurring and not just
to treat these situations or reduce their occurrence.