Biology Forums - Study Force

Patients at greatest risk for developing serious foot problems include those with: (Select all that apply.)
 
  a. peripheral neuropathy.
  b. peripheral vascular disease.
  c. pancreatitis.
  d. diabetes.

Question 2

Aggressive prevention measures should be implemented for a patient in the general population with a pressure ulcer risk on the Braden Scale of less than or equal to:
 
  a. 16.
  b. 18.
  c. 20.
  d. 24.

Question 3

Hospice benefits include which of the following? (Select all that apply.)
 
  a. Respite for family caregivers
  b. Hospitalization for acute symptom management
  c. Emotional and psychological support
  d. Financial assistance and funeral arrangement

Question 4

While washing the patient's face, the nurse should:
 
  a. wash the eyes using soap and warm water.
  b. wash the eyes from outer canthus to inner canthus.
  c. wash the eyes with plain warm water.
  d. use the same portion of the washcloth.

Question 5

The patient voices concern to the nurse regarding his PCA pump. He states that he is afraid of getting an overdose if he pushes the button too many times. The nurse reassures the patient that:
 
  (Select all that apply.)
  a. there is a time delay (lockout) between patient doses.
  b. there is a maximum dose the patient can receive.
  c. the patient has a right to be concerned and needs to be careful.
  d. the patient could be put on a continuous infusion instead, because it is safer.

The answer to question 1

A, B, D
Patients at greatest risk for developing serious foot problems are those with peripheral neuropathy and peripheral vascular disease. These two disorders, commonly found in patients with diabetes, cause reduction in blood flow to the extremities and loss of sensory, motor, and autonomic nerve function. As a result, the patient is unable to feel heat and cold, pain, pressure, and the position of the foot. This reduction in blood flow impairs healing and promotes risk for infection.

The answer to question 2

A
Less than or equal to 16 is the risk cut score for the general population when the Braden Scale is used. Less than or equal to 18 is the risk cut score for older adults and black or Latino patients when the Braden Scale is used.

The answer to question 3

A, B, C
Hospice benefits include respite for family caregivers, limited hospitalization for acute symptom management, and bereavement care after death. Hospice does not provide financial assistance or funeral arrangements.

The answer to question 4

C
Wash the patient's eyes with plain warm water, using a clean area of cloth for each eye, bathing from inner to outer canthus. Soap irritates eyes. Use of separate sections of the mitt reduces infection transmission. Bathing the eye gently from inner to outer canthus prevents secretions from entering the nasolacrimal duct.

The answer to question 5

A, B
PCA prevents overdosing by interposing a preprogrammed delay time or lockout (usually 6 to 16 minutes) between patient-initiated doses. In addition, the prescriber may limit the total amount of opioid that the patient may receive in 1 to 4 hours (Pasero, 1999). Use basal (continuous) infusions cautiously because studies have not shown superior analgesic benefit. Continuous infusion increases the risk for opioid overdose.