Environmental safety risk assessments include all of the ...

[azncindy619]

Environmental safety risk assessments include all of the following except
 
  a. Noting electrical wiring, frayed cords, and hot extension cords
  b. Sorting through older adults' mail to see if they are paying their bills on time
  c. Medication storage and date of medications
  d. Noting clutter and throw rugs

Question 2

Tyrel Asplund, 80 years old, has the nursing diagnosis of impaired skin integrity related to stasis ulcer on the left ankle. Which of the following would be a goal for this nursing diagnosis?
 
  a. The resident will not have any more leg ulcers
  b. Stasis ulcer will have decreased redness and granulation tissue evident in 2 weeks
  c. The nurse will change the wound dressing b.i.d. until healed
  d. The nurse will chart any wound drainage and report it to the physician

[kardosa007]

Answer to Question 1

B
It is inappropriate to review anyone's mail without permission. Regarding bill payments, ask a family member to review the older adult's mail. Responses A, C, and D all are appropriate components of the environmental assessment.

Answer to Question 2

B
Response B is a measurable, realistic, specific, time-related, and attainable goal. Responses C and D are not resident-centered goals. They are nursing interventions. Response A is a goal, but it does not address the current problem, stasis ulcer. The goal is not specific or timely.