The nurse is making a home visit to an elderly patient with a history of pressure ulcers. The patient lives with her son, daughter, an four grandchildren
The daughter-in-law, who is home today, tells the nurse, "She has to be able to take care of herself because the job and the children keep me very busy. I make sure there is food for her to eat, but she is still losing weight. I don't know what else I can do.". The nurse proceeds to conduct an assessment of the patient. Which of the following assessed factors would indicate to the nurse that the patient's wound will not heal? Select all that apply. a. Walks independently
b. Eats independently
c. Wound is over 3 months old
d. Incontinent of feces
e. Incontinent of urine
f. Has lost more than 5 percent of her weight in the past 90 days
C, D, E, F
The fact that the client walks and eats independently is a positive; however, the fact that the client has
lost more than 5 percent of her baseline weight in the past 90 days, is incontinent of both feces and
urine, and the wound is over 3 months old would indicate that the wound will not heal.
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The family of a client with a terminal illness will be able to help provide some psychological sup-port to their family member. To assist the family to meet this outcome, the nurse plans to include in the teaching plan:
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J.B. has several factors that make discharge planning especially problematic. Describe two
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The nurse is teaching new parents how to dress their newborn. Which statements indicate that teaching has been effective? Select all that apply
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