Answer to Question 1
A, B, C, D
When mobility is altered, many body systems are at risk for impairment. Impaired mobility can result in altered cardiovascular functioning, disruption of normal metabolic functioning, increased risk for pulmonary complications, the development of pressure ulcers, and urinary elimination alterations.
Answer to Question 2
D
If a patient has large stage III or stage IV pressure ulcers on multiple turning surfaces, a low-air-loss bed or air-fluidized bed may be indicated. The use of water mattresses has been reduced considerably because they harbor organisms in the water, and leaks in the mattress are risky for patients with open wounds. Gel overlays are used for moderate- to high-risk patients, not for patients who have stage IV ulcers. They are useful for patients who are wheelchair dependent. Foam overlays are used for moderate- to high-risk patients, not for those with stage IV ulcers.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
The nurse needs to note the source of the patient health history
Patient Position for Posterior Percussion
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Patient education
Preparing a Manual Patient Ledger.