Author Question: Mrs. Jenkins is a 78-year-old patient who was admitted to the hospital for a bowel obstruction. She ... (Read 103 times)

luvbio · **on:** Jul 22, 2018

Mrs. Jenkins is a 78-year-old patient who was admitted to the hospital for a bowel obstruction. She is immobile and the nurse has noticed that she has a reddened area on her right heel.

When the nurse presses on the area it does not turn lighter in color. She knows that the skin injury is reversible if the pressure is relieved and she uses measures to protect the tissue. How should the nurse document the tissue condition? A. Reactive hyperemia
B. Blanchable hyperemia
C. Nonblanchable hyperemia
D. Cachexia

Question 2

A nurse is caring for a patient with a debilitating chronic illness. The patient mentions several times that faith would guide her healing. The nurse knows that faith can best be defined as a(n):

A. awareness of one's inner self and sense of connection.
B. belief that gives a person meaning and purpose in life.
C. system of organized beliefs and worship.
D. multidimensional concept that gives comfort while a person endures hardship.

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

Answer to Question 1

C
Nonblanchable hyperemia is redness that persists after palpation and indicates tissue damage. When you press a finger against the red or purple area, it does not turn lighter in color. Deep tis-sue damage is present and is commonly the first stage of pressure ulcer development.

Answer to Question 2

B
Spirituality is defined as awareness to one's inner self and a sense of connectedness to a higher being or nature or purpose greater than self. Religion refers to the system of organized beliefs and worship that a person practices to outwardly express spirituality. Hope is a multidimensional concept that gives comfort while a person endures hardship and personal challenges.