Which long-term care residents would benefit from a referral to a ...

[Mimi]

Which long-term care residents would benefit from a referral to a podiatrist? (Select all that apply.)
 
  a. 90-year-old poststroke patient with right hemiparesis
  b. 85-year-old diabetic patient who is 100 lb overweight
  c. 80-year-old resident with phlebitis and a stasis ulcer on the left ankle
  d. 75-year-old resident with congestive heart failure (CHF)
  e. 70-year-old resident with chronic obstructive pulmonary disease (COPD)

Question 2

A dark-complexioned African American has a suspected skin breakdown over the trochanter. What would be appropriate measures for the nurse to implement during the assessment? (Select all that apply.)
 
  a. Use a halogen light to examine the area.
  b. Palpate for local edema in the area.
  c. Touch the area to feel for changes in tissue temperature.
  d. Assess for localized pain.
  e. Press the area to test for blanching.

[Mollythedog]

Answer to Question 1

ANS: B, C
Persons with diabetes or circulatory disorders should have foot care performed by a specialist.

Answer to Question 2

ANS: A, B, C
Halogen lights make a stage I area appear blue in a dark-skinned person. There is usually a local area of heat and edema. Stages I and II pressure ulcers are painless. Testing for blanching when erythema cannot be assessed is useless.

[Mimi]

Wow, this really help

[bdobbins]

Thanks for the timely response, appreciate it