Which client does the nurse recognize as being at greatest risk for pressure ulcers?
a. Infant with skin excoriations in the diaper region
b. Young adult with diabetes in skeletal traction
c. Middle-aged adult with quadriplegia
d. Older adult requiring use of assistive device for ambulation
C
The client at greatest risk for pressure sores is the one with a lack of sensory perception at the site (e.g., quadriplegia). The infant with disruption to the skin from diaper rash is at risk for skin infection but not for a pressure sore. The young adult with diabetes is at increased risk for delayed wound healing but not likely for a pressure sore because he would shift weight in bed and respond to discomfort of pressure on a bony site. The older adult is normally at risk for pressure injury, but when mobile, even with an assistive device, the risk is minimal.
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The nurse is assessing the patient for symptoms related to a new diagnosis of acute angle-closure glaucoma. Which of the following is a symptom of acute angle-closure glaucoma?
A) Vertigo B) Floaters in the vision C) Seeing halos around lights D) Double vision in the evening
A 49-year-old man with a history of poorly controlled type 1 diabetes has developed osteomyelitis adjacent to a chronic diabetic ulcer on his great toe
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The statement "Tell me more" is a presumptuous one that is inappropriate for respectful listening practices
Indicate whether this statement is true or false.
Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in ages 15 to 19 years?
a. Suicide b. Cancer c. Firearm homicide d. Occupational injuries