Health Care > TEST BANKS > new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond-john-duncan-carlos-mancia-kenny (All)
ategory Your respons e Explanation Education al Needs Increased acuity Mr. Wright needs further understanding of why it is important to stay off of the increased pressure areas. Fall Risk In... creased acuity Due to Mr. Wright’s age and diagnosis, as well as optional pain medications, he is at risk for falling. Health change Increased acuity Due to the compromise in Mr. Wright’s skin condition, he is more susceptible to infection and further injury. Neurologi cal Normal acuity He is awake, alert, and cooperative. Pain level Increased acuity Normal, rationale: Patient states the pain has subsided Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. You correctly diagnosed 10 out of 12 options: Physiological Description Your Respon se Explanation Acute Pain TRUE Related to tissue destruction and exposure of nerves. Altered Body Image TRUE Related to skin healing misconfiguration. Constipation FALSE Patient does not complain of constipation at this time. Impaired Communication FALSE no evidence of impaired communication.lOMoAR cPSD|7327774 Impaired Physical Mobility TRUE Related to wound location. Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Ineffective Airway Clearance FALSE Patient has no evidence of breathing problems. Ineffective Breathing Pattern FALSE Patient has no evidence of breathing problems. Risk for Imbalanced Nutrition FALSE Mr. Wright needs increased protein for healing of pressure injuries. Safety Description Your Respon se Explanation Isolation Precaution FALSE Patient is not in isolation. Risk for Infection TRUE Related to physical immobility, shearing forces, precautions at this time. Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. Preston Wright Scenario 1 [Show More]
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Aug 24, 2022
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