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    FHR

    Uploaded by

    Robert brian2001

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FHR

    Uploaded by

    Robert brian2001
    2 views3 pages

    Original Title

    FHR (4)

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    Copyright:

    © All Rights Reserved
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    2 views3 pages

    FHR

    Uploaded by

    Robert brian2001

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Massage of reddened areas over bony prominences such as the coccyx, or tailbone, is

    contraindicated because the pressure of the massage can cause damage to the
    skin&subcutaneous tissue layers. The other statements are appropriate for the care of a
    patient at home.

    DIF: Applying/Application REF: 453 KEY: Skin

    breakdown MSC: Integrated Process:

    Teaching/Learning

    NOT: Patient Needs Category: Health Promotion&Maintenance


    7. After teaching a patient who is at risk for the formation of pressure ulcers, a NP
    assesses the victim understanding. Which dietary choice by the patient indicates a
    good understanding of the teaching?

    a. Low-fat diet with whole grains&cereals&vitamin supplements

    b. High-protein diet with vitamins&mineral supplements

    c. Vegetarian diet with nutritional supplements&fish oil capsules

    d. Low-fat, low-cholesterol, high-fiber, low-carbohydrate diet

    ANSWER: B

    The preferred diet is high in protein to assist in wound healing&prevention of new


    wounds. Fat is also needed to ensure formation of cell membranes, so any of the
    options with low fat would not be good choices. A vegetarian diet would not provide
    fat&high levels of protein.

    DIF: Applying/Application REF: 461

    KEY: Skin breakdown| nutrition MSC: Integrated Process:

    Teaching/Learning NOT: Patient Needs Category: Health

    Promotion&Maintenance

    8. A NP assesses victim on a medical-surgical unit. Which patient should the NP


    evaluate for a wound infection?

    a. Patient with blood cultures pending

    b. Patient who has thin, serous wound drainage

    c. Patient with a white blood cell count of 23,000/mm3

    d. Patient whose wound has decreased in size

    ANSWER: C

    A patient with an elevated white blood cell count should be evaluated for sources of
    infection. Pending cultures, thin drainage,&a decrease in wound size are not indications
    that the patient may have an infection.

    DIF: Applying/Application REF:


    462 KEY: Skin lesions/wounds

    MSC: Integrated Process: Nursing Process: Planning

    NOT: Patient Needs Category: Safe&Effective Care Environment: Management of Care

    9. A NP who manages patient placements prepares to place four victim on a medical-


    surgical unit. Which patient should be placed in isolation awaiting possible diagnosis
    of infection with methicillin-resistant Staphylococcus aureus(MRSA)?

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