Individuals at risk for the development of pressure ulcers include those who are older, incontinent,
bed- or wheel-chair bound, or recovering from spinal cord injuries. Other examples of risk factors
include diabetes mellitus, elevated body temperature, immobility, and anemia.
5. Which intervention should the nurse include in the plan of care for a 56-year-old patient who is
paraplegic with a stage 3 pressure ulcer?
6. When assessing a patient who is receiving cefazolin (Ancef) for the treatment of a bacterial
infection, which data suggest that treatment has been effective?
7. A patient is ordered to receive acetaminophen 650 mg per rectum every 6 hours as needed for
fever greater than 102° F. Which parameter would the nurse monitor, other than temperature, if the
patient requires this medication?
8. The nurse determines that the patient may be suffering from an acute bacterial infection based
upon which laboratory test result?