Answer to Question 1
A
The wound is acute because it developed recently. The wound is full-thickness because it involves the dermis. The wound is open because it was bleeding, so the skin must be broken. The wound is contaminated because it is exposed to stool and appears to be infected.
Answer to Question 2
A
The young adult patient in traction has multiple risk factors including immobility, dehydration, and inadequate protein intake. Healthy skin depends on adequate protein levels to maintain the skin, repair minor defects, and preserve intravascular volume. Therefore, this patient is at greatest risk for altered skin integrity. An elderly patient with well-controlled diabetes has only one risk factor, and therefore is not at highest risk among the group of patients in the scenario. The middle-aged adult with metabolic syndrome, which involves obesity, hyperlipidemia, and hypertension, has compromised health, although not necessarily compromised skin integrityunless the patient were immobile, which he is not. Although fever and skin moisture can compromise skin integrity, the adolescent's condition is likely transient.
The general survey includes assessing every patient for signs of distress.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
THE DIMENSIONS OF PATIENT-CENTERED CARE
It is important to act concerned when a patient is upset.
Preparing a Manual Patient Ledger.
Sign and symptoms of a patient with heart failure