A patient being treated for a stage 3 pressure ulcer is ...

[danielfitts88]

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]

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.

[danielfitts88]

Correct answers!

[scikid]

Great! Please up vote