Question
In: Nursing
The nurse is caring for an 88-year-old diabetic client who has been admitted from a long-term...
The nurse is caring for an 88-year-old diabetic client who has been admitted from a long-term care facility for treatment of an infected, stage 4 pressure ulcer. (20 points each)
Identify the different stages of pressure ulcers, describing the assessment findings for each of the 4 stages.
Discuss the risk factors for clients in the development of pressure ulcers, including the effects of aging on the immune system.
Describe how the nurse uses the Braden Score for client assessment, when the Braden Score is used, and what nursing interventions are applied based on the score obtained.
Identify the specific nursing considerations for diabetic clients and wound management.
You are ordered to start an insulin drip for this client at 2 units/hour. The pharmacy prepares the insulin drip as 100units insulin /250 ml of 0.9%NS. What rate would the nurse program the pump?
Solutions
Nightingale answered 2 years agoRelated Solutions
The nurse is caring for an 88-year-old diabetic client who has been admitted from a long-term...
The nurse is caring
for an 88-year-old diabetic client who has been admitted from a
long-term care facility for treatment of an infected, stage 4
pressure ulcer.
Identify the different stages of pressure ulcers, describing
the assessment findings for each of the 4 stages.
Discuss the risk factors for clients in the development of
pressure ulcers, including the effects of aging on the immune
system.
Describe how the nurse uses the Braden Score for client
assessment, when the Braden Score...
The nurse is caring for a client who has been admitted to the emergency room with...
The nurse is caring for a client who has been admitted to the
emergency room with generalized weakness, particularly on her left
side, with a left-sided facial droop, aphasia, numbness, and
tingling in her left arm which started two days ago. Pupils are
minimally reactive and constricted bilaterally. She does not follow
commands. Lower extremities have + 1 pitting edema bilaterally. The
client is transferred to the neuro floor but will be discharged
home with her son.
Using the Situation...
A nurse is caring for an 80-year-old patient who was admitted to the hospital with a...
A nurse is caring for an 80-year-old patient who was admitted to
the hospital with a diagnosis of dehydration. The patient stated he
had been vomiting for 2 days and had been unable to take food or
fluids. He has been healthy and currently takes only a diuretic for
his blood pressure. On physical examination, the nurse notes that
the patient’s skin is dry with decreased turgor, oral mucous
membranes are dry, heart rate is 100, and blood pressure is...
The nurse is caring for someone in the CCU who has been admitted for unstable angina?...
The nurse is caring for someone in the CCU who has been
admitted for unstable angina? The person is receiving Nitroglycerin
50mg/250ml D5W @ 30mcg/min.
How many ml/hr. will the person receive to receive
30mcg/min?
What is a special consideration in the administration of IV
Nitroglycerin the nurse must know ?
What common side effect would the nurse expect to the person to
experience while receiving this medication?
This person is discharged with a Rx for Nitroglycerin SL. How
should...
A nurse in a long term care facility is caring for a bedridden client. which of...
A nurse in a long term care facility is caring for a bedridden
client. which of the following findings should alert the nurse to a
potential complication of the clients immobility
A. blurred vision
b. confusion
c. polyuria
d. diarrhea
You are a hospital nurse caring for a 62-year-old accountant who was admitted following a motor...
You are a hospital nurse caring for a 62-year-old accountant
who was admitted following a motor vehicle accident. During her
hospitalization, a significant lack of urination was detected. Her
primary care physician has ordered significant testing while the
patient is recovering from her injuries. (Learning Objective
2)
a. What circumstances could be causing her infrequent
urination?
b. How can infrequent urination negatively impact a patient’s
health?
c. Outline how urination may be affected by the effects of
aging.
d. Describe...
A nurse is caring for a client who has a traumatic brain injury. The client, who...
A nurse is caring for a client who has a traumatic brain injury.
The client, who has been quiet and cooperative, becomes agitated
and restless. Which of the following assessments should the nurse
perform first?
a. Blood glucose
b. Urinary output
c. Motor responses
d. Blood pressure
The nurse is caring for a client who has been receiving supplemental oxygen for hypoxia secondary...
The nurse is caring for a client who has been receiving
supplemental oxygen for hypoxia secondary to pneumonia. Which
laboratory data suggests that the client's oxygen flow rate can be
safely decreased?
A. PaO2 108 mmHg
B. pH 7.39
C. PaCO2 45 mmHg
D. HCO3 24 mEq/liter
Case Study A student nurse is caring for a 62 year-old client who underwent a great...
Case Study
A student nurse is caring for a 62 year-old client who underwent
a great toe amputation related to Type 2 diabetes mellitus 3 weeks
ago. The client is admitted with a suspected infection of the
wound. Upon initial assessment the student nurse observes that the
client’s right foot is swollen, warm, and tender to touch, with red
streaks extending upward approximately 1 inch above the ankle and
has an oral temperature of102.6° F. The wound has yellow, odorous...
The nurse is caring for 75-year-old male client who reports liver spots in addition to a...
The nurse is caring for 75-year-old male client who reports
liver spots in addition to a change in color and size to one of his
moles. The nurse notes that the client is speaking loudly and
answering questions inappropriately.
What information can the nurse provide the patient on the
common causes and treatments of senile lentigines?
Explain the rationale for asking the client about his current
medication.
Discuss the danger signs of pigmented lesions and the
implications.
Compare and contrast...
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