Question

the nurse determines the risk for a pressure ulcer in an older adult who is 6 feet tall and weight 155 pounds. which client information should the nurse use in planning care to reduce this individual's risk for a pressure ulcer? (select all that apply)

Answer 1

The patient information that the nurse can use in planning care to reduce this individual's risk for a pressure ulcer include:

B. Dry mucous membranes

C. Prealbumin level of 7 mg/dL

D. Fasting glucose of 140 mg/dL

F. Uses food stamps to get food

How to illustrate the information?

One area of concern that the nurse should address is the possibility of skin breakdown as a result of arthritic pain or immobility. Because this man is underweight, malnourished, and dehydrated, as evidenced by dry mucous membranes, the nurse plans care to address dehydration as a significant risk factor for pressure ulcers.

Because water is required for intracellular functioning and cell durability, dehydration increases the risk of pressure ulcers. Because this man is underweight and malnourished, the nurse bases his care on an assessment of hypoproteinemia, which increases his risk of pressure ulcers significantly.

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Complete question

The nurse determines the risk for a pressure ulcer in an older adult who is 6 feet tall and weighs 155 lb. Which patient information should the nurse use in planning care to reduce this individual's risk for a pressure ulcer? (Select all that apply.) a. Osteoarthritis of the neck b. Dry mucous membranes c. Prealbumin level of 7 mg/dL d. Fasting glucose of 140 mg/dL e. Serum sodium of 135 mEq/dL f. Uses food stamps to get food