This topic contains a solution. Click here to go to the answer

Author Question: The nurse is caring for a patient who has right-sided paralysis after a cerebrovascular accident ... (Read 34 times)

Beheh

  • Hero Member
  • *****
  • Posts: 520
The nurse is caring for a patient who has right-sided paralysis after a cerebrovascular accident (stroke). Which of the following factors would be most likely to result in pressure ulcer formation for this patient?
 
  a. Poor nutrition
  b. Immobility
  c. Reduced hydration
  d. Skin secretions

Question 2

A client has a healing abdominal wound. The wound has minimal exudate and collagen formation. The wound is identified by the nurse as being in which phase of healing?
 
  a. Primary intention
  b. Inflammatory phase
  c. Proliferative phase
  d. Secondary intention



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Dnite

  • Sr. Member
  • ****
  • Posts: 297
Answer to Question 1

B

Feedback
A Poor nutrition is a risk factor for developing a pressure ulcer but is not the primary risk factor for this patient.
B The patient who has right-sided paralysis is at increased risk for a pressure ulcer developing because of immobility. When restricted from moving freely, dependent body parts are exposed to pressure, reducing circulation to affected body parts. The inability to turn or change position increases the risk for pressure ulcers.
C The patient is not identified as having reduced hydration.
D Skin secretions increase the risk for developing a pressure ulcer; however, this patient's greatest risk factor is having impaired mobility.

Answer to Question 2

C
During the proliferative phase, the wound fills with granulation tissue (including collagen for-mation), the wound contracts, and the wound is resurfaced by epithelialization.
Primary intention is not a phase of wound healing. Wounds that heal by primary intention have minimal tissue loss, such as a surgical wound. The edges are approximated, and the risk of infec-tion is low.
During the inflammatory phase, platelets gather to stop bleeding, a fibrin matrix forms, and white blood cells reach the wound, clearing it of debris.
Secondary intention is not a phase of wound healing. Wounds that heal by secondary intention have loss of tissue, such as a pressure ulcer. The wound is left open until it becomes filled by scar tissue.




Beheh

  • Member
  • Posts: 520
Reply 2 on: Jul 22, 2018
Great answer, keep it coming :)


recede

  • Member
  • Posts: 315
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

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.

For a complete list of videos, visit our video library