Author Question: Upon assessment a nurse discovers that a patient has erythema. Which actions will the nurse take? ... (Read 83 times)

waynest

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Upon assessment a nurse discovers that a patient has erythema. Which actions will the nurse take? (Select all that apply.)
 
  a. Consult a dietitian.
  b. Increase fiber in the diet.
  c. Place on chest physiotherapy.
  d. Increase frequency of turning.
  e. Place on pressure-relieving mattress.

Question 2

The nurse and a new nurse in orientation are caring for a patient with pneumonia. Which statement by the new nurse will indicate a correct understanding of this condition?
 
  a. An infectious disease like pneumonia may not pose a risk to others.
  b. We need to isolate the patient in a private negative-pressure room.
  c. Clinical signs and symptoms are not present in pneumonia.
  d. The patient will not be able to return home.



hramirez205

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Answer to Question 1

ANS: A, D, E
If skin shows areas of erythema and breakdown, increase the frequency of turning and repositioning; place the turning schedule above the patient's bed; implement other activities per agency skin care policy or protocol (e.g., assess more frequently, consult dietitian, place patient on pressure-relieving mattress). Increased fiber will help constipation. Chest physiotherapy is for respiratory complications.

Answer to Question 2

ANS: A
Infections are infectious and/or communicable. Infectious diseases may not pose a risk for transmission to others, although they are serious for the patient. Pneumonia is not a communicable diseasea disease that is transmitted directly from one individual to the next, so there is no need for isolation. A private negativeair pressure room is used for tuberculosis, not pneumonia. Clinical signs and symptoms are present in pneumonia. Frequently, patients with pneumonia do return home unless there are extenuating circumstances.



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