Answer to Question 1
ANS: C
The patient's major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is.
Answer to Question 2
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an appropriate intervention, the nurse's first action should be to obtain more information. The other actions may be appropriate, but more assessment is needed before the best intervention can be chosen.
The three basic body plans of bilaterally symmetrical animals.
The major muscles of the human body, anterior side.
muscles whole body
Body fluid compartments
Pressure Ulcer Stages
The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ...