Author Question: A nurse is working in a long-term care facility. The nurse knows that immobilized patients are at ... (Read 74 times)

amal · **on:** Jul 22, 2018

A nurse is working in a long-term care facility. The nurse knows that immobilized patients are at risk for pressure ulcer development primarily as a result of:

A. mobility.
B. inadequate nutrition.
C. sensory perception.
D. protein buildup in tissues.

Question 2

Hank is a student nurse who is assessing the pain of Thomas, a 15-year-old patient with cancer. Hank asks Thomas about precipitating factors, quality, relieving factors, where the pain is, the severity of pain, and the effect of the pain on Thomas.

What is the other indicator that Hank should make part of his pain assessment? A. Medications Thomas is taking for pain
B. Timing of the pain
C. Side effects of Thomas's chemotherapy
D. Thomas's ability to take oral pain medication

tjayeee · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Immobile patients are prone to shearing and friction. A decrease in sensory perception will cause a patient to develop pressure ulcers because of lack of sensation. Poor nutrition, specifically se-vere protein deficiency, causes soft tissue to become susceptible to breakdown.

Answer to Question 2

B
Only the patient can describe pain characteristics. Patient self-report is the single most reliable indicator of the existence and intensity of pain and any related discomfort. Each pain characteris-tic presents implications for how you will help to manage patients' pain. The PQRSTU model is an effective tool for assessing pain in adults and determining interventions to relieve the pain.