An elderly patient has been admitted to the hospital for pneumonia. Which factor could put this patient at risk for a pressure ulcer?
a. A diet low in protein
b. Braden Scale results of 22
c. Primary health care provider orders that read "activity as tolerated"
d. Being repositioned every 2 hours
A
Poor nutrition, specifically severe protein deficiency, causes soft tissue to become susceptible to breakdown. Low protein levels cause edema or swelling, which contributes to problems with the transportation of oxygen and nutrients. A hospitalized adult with a score of 16 or below and an older adult at 18 or below are at risk for pressure ulcer development; a score of 22 does not place the patient at risk. A patient with decreased mobility, inadequate nutrition, excessive skin moisture, decreased sensory perception, or decreased activity is at risk for pressure ulcer development. Repositioning a patient every 2 hours will help prevent pressure ulcers. Activity as tolerated will help prevent pressure ulcers.
You might also like to view...
Nicotine increases the risk for thrombus (blood clot) formation
Indicate whether this statement is true or false.
What type of medication could be prescribed for a patient who experiences anxiety when speaking before a group?
a. A benzodiazepine drug b. An SSRI drug c. A beta blocker d. A TCA drug
Which precaution does the nurse stress when teaching a patient about a prescribed nitroglycerin transdermal patch?
a. "If a patch comes loose, tape it tightly to the skin with several layers of tape." b. "Do not remove old patches, just let them fall off over time." c. "Take care to apply the patches directly over your heart." d. "Remove the old patch before applying the new patch."
Most clients requiring home care services are
A) recently hospitalized. B) children. C) dependent on medical technology. D) over 65 years of age.