Which of the following clients have an increased risk for the development of a pressure ulcer? (Select all that apply.)
1. A 35-year-old motorcycle accident victim who has been comatose for 5 months
2. A 75-year-old client with type 2 diabetes with neuropathy in his feet
3. A 64-year-old client experiencing anorexia after hip replacement surgery
4. A 70-year-old client diagnosed with advanced Alzheimer's disease
5. A 40-year-old client with osteoarthritis who has been in bed with the flu
6. A 25-year-old client in the terminal stages of brain cancer
ANS: 1, 2, 3, 4, 6
Any client experiencing decreased mobility, decreased sensory perception, fecal or urinary incon-tinence, and/or poor nutrition is at risk for pressure ulcer development. The only option that does not represent one of the risk factors is the client dealing with the flu.
You might also like to view...
The nurse is planning care for a 3-month-old infant with eczema. Which of the following would take top priority in this infant's care?
1. Maintaining adequate nutrition 2. Keeping the baby content 3. Preventing infection of lesions 4. Applying antibiotics to lesions
A patient has completed the acute treatment phase of care following a stroke and the patient will now begin rehabilitation. What should the nurse identify as the major goal of the rehabilitative process?
A) To provide 24-hour, collaborative care for the patient B) To restore the patient's ability to function independently C) To minimize the patient's time spent in acute care settings D) To promote rapport between caregivers and the patient
Congenital anomalies can occur with the use of antiepileptic drugs, including (select all that apply)
a. Cleft lip b. Congenital heart disease c. Neural tube defects d. Gastroschisis e. Diaphragmatic hernia
The postpartum client expresses concern about getting back into her pre-pregnant shape, and asks the nurse when she will be able to run again. Which statement indicates that teaching was effective?
1. "You can start running in two weeks. Breastfeed as soon as you are done." 2. "See how your energy level is at home, and increase your activity slowly." 3. "Running is not recommended for breastfeeding women." 4. "If you are getting eight hours of sleep per day, you can start running."