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Author Question: The nurse, planning care for several clients, would identify which client has the greatest risk for ... (Read 83 times)

robinn137

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on: Jul 22, 2018
The nurse, planning care for several clients, would identify which client has the greatest risk for developing a pressure ulcer?
 
  a. A 45-year-old client admitted for spinal surgery
  b. A 65-year-old client who resides in a nursing home due to chronic confusion, but is ambulatory
  c. An 80-year-old client with a fractured hip who cannot turn self in bed
  d. A 65-year-old client admitted to the hospital for observation due to a head injury

Question 2

A client is admitted to the hospital with a wound that is itchy and is draining, irritating the surrounding skin. During the initial assessment,
 
  the nurse notes that the skin around the wound is red, swollen, and broken. Which would be the most appropriate nursing diagnosis?
  a. Impaired skin integrity related to moisture and irritation
  b. Risk for impaired skin integrity related to pruritis
  c. Risk for impaired skin integrity related to redness
  d. Impaired skin integrity related to immobility


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Smiles0805

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Reply #1 on: Jul 22, 2018
Answer to Question 1

ANS: C

Answer to Question 2

ANS: A


robinn137

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Reply 2 on: Jul 22, 2018
Thanks for the timely response, appreciate it

Chelseyj.hasty

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Reply 3 on: Yesterday
Excellent

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