The nurse evaluates a patient's risk for developing a pressure ulcer using the Norton scale. The patient's score is 18. The nurse should:
1. call the physician immediately.
2. implement a pressure ulcer prevention program.
3. document the score.
4. order an alternating air mattress.
3
If the total score on the Norton scale is greater than 14, there is little risk of pressure ulcer development; if it is less than 14, there is a significant risk.
You might also like to view...
A patient has been diagnosed with a fungal infection in the intertriginous areas of the toes. The nurse would assess which area for this infection?
1. The area between the toes 2. The distal end of the toes 3. The base of the toenails 4. The underside of the toes
If someone has a limited food budget and becomes malnourished because they only eat one small meal a day, they would have
a. primary malnutrition. b. secondary malnutrition. c. anorexia nervosa. d. iatrogenic malnutrition.
A nurse caring for a 6-year-old patient notices that he is attempting to pull on a surgical incision. What would be the best type of restraint to prevent him from doing this?
A) Elbow restraint B) Vest restraint C) Extremity restraint D) Mummy restraint
Which benign breast tumor affects postmenopausal women and is characterized by the principal lactiferous ducts becoming dilated and filled with cellular debris?
a. Mammary duct ectasia b. Intraductal papilloma c. Phyllodes tumor d. Fibroadenoma