The Nurse Is Concerned That a Client Is at Risk

question 18

Multiple Choice

The nurse is concerned that a client is at risk for pressure injuries. Which assessment data supports the nurse's concern? Select all that apply.

• A)Age 54
• B)Body temperature within normal limits
• C)Low serum albumin level
• D)Continence of urine and stool
• E)Prescribed bedrest

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Definitions:

Significant Glucose

An elevated level of glucose in the blood that may indicate a risk for, or the presence of, diabetes or other health conditions.

Foley Catheters

A type of catheter inserted into the bladder to drain urine, often used during surgery or for patients who cannot urinate independently.

Retention

The ability to keep or hold onto something, such as information or materials.

Ureteral

Pertaining to the ureter, the tube that carries urine from the kidney to the bladder.