« previous next »

Author Question: A patient being treated for a stage 3 pressure ulcer is demonstrating delayed healing. What ... (Read 32 times)

danielfitts88

  • Hero Member
  • *****
  • Posts: 535
on: Jun 25, 2018
A patient being treated for a stage 3 pressure ulcer is demonstrating delayed healing. What information in the patient's medical record and history would explain this delay?
 
  Select all that apply.
 
  1. The patient had total knee replacement 7 years ago.
  2. The patient takes insulin for control of type 2 diabetes mellitus.
  3. The patient was diagnosed with peripheral vascular disease 5 years ago.
  4. The patient was prescribed steroids for treatment of chronic lung condition.
  5. The patient takes acetaminophen 650 mg twice a day for arthritis pain.

Question 2

During a home visit the nurse determines that family members would benefit from receiving the hepatitis B vaccination. Which family members did the nurse identify as being at risk for this illness?
 
  Select all that apply.
 
  1. 29-year-old female with ovarian cysts
  2. 21-year-old male with Down syndrome
  3. 63-year-old male with end-stage renal disease
  4. 57-year-old female newly diagnosed with diabetes mellitus
  5. 32-year-old male with liver disease from acetaminophen abuse


scikid

  • Sr. Member
  • ****
  • Posts: 300
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 2, 3, 4

Chronic diseases may impair healing. High blood glucose levels impair chemotactic and phagocytic function. Arterial and venous disorders impair the delivery of oxygen and nutrients to heal tissues and remove toxins, bacteria, and other waste products from the wound area. Drug therapy with corticosteroids may suppress the immune and inflammatory responses and delay healing. A history of total knee replacement would not delay healing in this patient. Acetaminophen is not identified as a medication that adversely affects healing.

Answer to Question 2

Correct Answer: 3, 4, 5

Hepatitis B (HB) vaccine is recommended for people newly diagnosed with diabetes mellitus who are under age 60 years and for those in high-risk populations such as patients with end-stage renal disease or chronic liver disease. The vaccine is not recommended for those with ovarian cysts or Down syndrome.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

danielfitts88

  • Hero Member
  • *****
  • Posts: 535
Reply #2 on: Jun 25, 2018
Correct answers!


scikid

  • Sr. Member
  • ****
  • Posts: 300
Reply #3 on: Jun 25, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Nurses may collaborate with social workers, physicians, and other members of the health care team to Nurses may collaborate with social workers, physicians, and other members of the health care team to
The medical assistant often has to reassure and comfort the patient before effective communication c The medical assistant often has to reassure and comfort the patient before effective communication c
All messages must be documented and placed in the patient's chart. All messages must be documented and placed in the patient's chart.
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
Pressure drop after 10 minutes on a normal port fuel-injection system. Pressure drop after 10 minutes on a normal port fuel-injection system.
Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ... Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ...
Video: Cerebral Cortex Animation

For a complete list of videos, visit our video library