Author Question: A 71-year-old woman with a longstanding diagnosis of emphysema developed community-acquired ... (Read 77 times)

tatyanajohnson

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A 71-year-old woman with a longstanding diagnosis of emphysema developed community-acquired pneumonia 3 weeks ago and was admitted to the hospital for treatment.
 
  A combination of respiratory therapy and IV antibiotics has resolved the woman's infection and she is now preparing to return to the home she shares with her husband. What phase in the trajectory model of chronic illness is this patient currently experiencing?
  A) Unstable
  B) Crisis
  C) Acute
  D) Comeback

Question 2

The nurse manager of a subacute geriatric unit of a hospital recognizes the need to reduce the incidence of pressure ulcers in patients on the unit.
 
  Which of the following protocols and procedures are associated with a decreased risk of pressure ulcers? (Select all that apply.) A) All patients are turned every 2 hours both during the day and during the night.
  B) Care providers are encouraged to lift rather than slide patients during transfers.
  C) Staff is discouraged from turning patients who are using a pressure-reducing mattress.
  D) Records of food and fluid intake are kept for each patient.
  E) Oils are added to patient baths and lotions applied thereafter.



jamesnevil303

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Answer to Question 1

D

Answer to Question 2

B, D, E
Feedback:
Lifting prevents shearing injuries, and adequate nutrition both prevents and treats pressure ulcers. Prophylactic use of oils and lotions is also a useful preventative measure. Some patients may require repositioning more often than every 2 hours and the use of pressure-reducing mattress does not negate the need for repositioning.



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