Author Question: A patient in a wheelchair has a history of sacral pressure ulcer formation. What instruction should ... (Read 251 times)

xroflmao · **on:** Jun 25, 2018

A patient in a wheelchair has a history of sacral pressure ulcer formation. What instruction should be included in the patient's teaching?

1. Shift the weight every 15 minutes to 1 hour.
2. Sit on a donut.
3. Stay in one position as long as possible.
4. Have a family pull the patient up in the wheelchair.

Question 2

A 35-year-old female patient is diagnosed with advanced malignant melanoma. The nurse realizes that this patient:

1. has an uncertain prognosis.
2. has a poor prognosis due to her age.
3. will be completely cured with surgery.
4. will need chemotherapy and radiation.

amandalm · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The patient should be repositioned every hour. If the patient can move, teach him or her to shift the weight every 15 minutes. Avoid the use of donut devices because they cause a reduction in blood perfusion and contribute to pressure ulcer formation. Sitting uninterrupted in a wheelchair should be avoided. Pulling the patient up in the chair may result in skin shear.

Answer to Question 2

Correct Answer: 1
The prognosis for survival for people diagnosed with malignant melanoma is determined by tumor thickness, ulceration, metastasis, site, age, and gender. Younger patients and women have a somewhat better chance of survival. There is no evidence that the patient will be completely cured with surgery or will need chemotherapy and radiation.