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

Author Question: The nurse is caring for four patients during a shift. Which of the following patients is at greatest ... (Read 165 times)

mp14

  • Hero Member
  • *****
  • Posts: 534
The nurse is caring for four patients during a shift. Which of the following patients is at greatest risk for developing a pressure ulcer?
 
  a. The patient who is bedridden, but who turns himself randomly
  b. The patient whose Braden Scale score is 8
  c. The patient who can ambulate to the bathroom independently
  d. The patient whose Braden Scale score is 18

Question 2

For a patient in the final stages of dying, a nurse expects to:
 
  a. keep the patient's room cool.
  b. avoid catheterizing the patient.
  c. elevate the head of the bed as tolerated.
  d. encourage the patient to eat and drink more.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

smrtceo

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

B
Given the overall score on the Braden Scale, the patient will fall within one of these categories: mild risk, 16 to 18; moderate risk, 13 to 14; or high risk, 9 or less. Use these risk scores to plan care by looking at the individual risk factors that place the patient at risk and developing a care plan to decrease or eliminate the identified risk factors. Immobility often restricts the patient's ability to change and control body position, thus increasing pressure over bony prominences. Patients who can turn themselves are at less risk than those who cannot.

Answer to Question 2

C
Poor circulation of body fluids, immobilization, and inability to expectorate secretions cause rattles and bubbling. Elevate the head with a pillow or raise the head of the bed; gently turn the head to the side to drain secretions. Coolness, color, and temperature change in the hands, arms, legs, and feet. Place socks on the feet. Cover with a light cotton blanket. Keep warm blankets on the patient. Decreased muscle tone and consciousness may lead to incontinence of urine and/or bowel. Change bedding as appropriate. Use an indwelling catheter for patient comfort. Do not force the patient to eat or drink; give ice chips, soft drinks, or juice, as possible. Provide mouth care.





 

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Did you know?

Nearly 31 million adults in America have a total cholesterol level that is more than 240 mg per dL.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

For a complete list of videos, visit our video library