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HESI Patient Review Patients at Risk
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HESI Patient Review Patients at Risk
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HESI Patient Review: Patients at RiskSally makes ongoing rounds, recommending prevention strategies and treatments for a wide variety
of wounds, including pressure ulcers. A pressure ulcer is a/an:
A. ecchymotic area caused by tissue trauma
B. localized area of tissue necrosis
C. skin trauma caused by bacteria
Which of the following contribute to Mr. Esserman's risk for development of pressure ulcers?
Select all that apply (there are 5 correct answers).
Hint
A. Paralysis of arm and leg
B. Loss of sensation
C. Use of a trapeze on his bed
D. Difficulty swallowing
E. Slurred speech
F. Urinary incontinence
With Sally, you prepare to teach the Essermans about pressure ulcer prevention. Which of the
following approaches is best?
Hint
A. Provide printed material "Preventing Pressure Ulcers: A Guide for Patients"
B. Spend time with the Essermans explaining pressure ulcer prevention
C. A combination of both of the above
Which of the following modifications are recommended when teaching older persons?
Select all that apply (there are 3 correct answers).
A. Use of large print in printed materials
B. Fluorescent lighting should be used when printed materials are read
C. Long and detailed explanations may be necessary
D. Presentation and discussion should be slow and unrushed
E. A slightly louder, low-pitched speaking voice may be needed
What should the Essermans be taught about moving and positioning?
Select all that apply (there are 2 correct answers).
Hint
, A. Applying a liberal amount of lotion and powder to Mr. Esserman's skin will make
position changes easier
B. A soft sheet or towel, applied under Mr. Esserman, can be used to assist with turning
C. When moving Mr. Esserman, the person doing the moving should bend his/her knees
D. Use of a donut-shaped cushion at the lower back is recommended
You teach the Essermans that when Mr. Esserman is in bed his position should be changed at least
every:
A. 15 minutes
B. 30 minutes
C. 2 hours
D. 4 hours
When assessing a reddened area, it is important that it be checked for:
Select all that apply (there are 2 correct answers).
Hint
A. odor
B. pitting
C. blanching
D. sensation
When Mr. Esserman is in a chair, his weight should be shifted every:
A. 15 minutes
B. 30 minutes
C. 1 hour
D. 2 hours
With regard to the reddened area, which of the following is indicated?
Hint
A. The reddened skin at the sacral area should be massaged with lotion
B. Plans should be made to keep the area free of pressure
C. A wet-to-dry dressing can be applied
D. The area should be cleansed with hydrogen peroxide
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