The Nurse Has Established an Expected Outcome That the Client

question 10

Multiple Choice

The nurse has established an expected outcome that the client will demonstrate healing of a stage II pressure ulcer over the coccyx.Which finding,discovered by the nurse during evaluation,might be implicated in the failure to achieve this outcome?

• A)The rubber doughnut pressure relief device was not delivered by central supply.
• B)The client's serum albumin increased over the last month.
• C)Nurses did not document disinfection of the wound with alcohol with each dressing change.
• D)Unlicensed assistive personnel (UAP)followed a right side-back-left side-back turning schedule.

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Definitions:

Nutrient

A substance that provides nourishment essential for the growth and maintenance of life.

Nitrites

Compounds containing the nitrite ion, NO2−, often used in food preservation and potentially harmful in high concentrations.

Bicarbonate

A bicarbonate ion (HCO3-) or a salt containing it, which acts as a buffer to maintain the pH balance in blood and other fluids.

Greenhouse Effect

Reradiation of solar heat toward the Earth, caused by an atmosphere that allows the sun’s rays to pass through, but traps the heat in the same manner as the glass of