Patients at greatest risk for developing serious foot problems include those with: (Select all that ...

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.