A 79-year-old female resident of a long-term care facility has developed a rash on her back and trunk and the health care provider who is on call to the facility has diagnosed her with shingles.
The registered nurse who is responsible for coordinating the care at the facility should prioritize which of the following nursing diagnoses in the care of this resident?
A) Risk for Imbalanced Body Temperature related to shingles
B) Risk for Injury related to shingles
C) Acute Pain related to shingles
D) Activity Intolerance related to shingles
Question 2
A male patient is being treated in the hospital for the effects of a debilitating ischemic stroke that he experienced 2 weeks ago.
The patient's plan of care identifies a risk of skin breakdown due to the cognitive, sensory, and motor effects of the stroke. What intervention should the nurse prioritize in an effort to reduce the patient's risk of pressure ulcers?
A) Turn the patient at least twice between 2200 and 0600 each night.
B) Ensure that the patient's heels are elevated off the surface of his bed.
C) Avoid seating the patient in a chair until his rehabilitation has been completed.
D) Provide relevant health education to the patient about the management of pressure ulcers.
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