38 An older adult patient has been treated for a venous ulcer and a plan is in

38 an older adult patient has been treated for a

This preview shows page 136 - 139 out of 139 pages.

38.An older adult patient has been treated for a venous ulcer and a plan is in place to prevent the occurrence of future ulcers. What should the nurse include in this plan?A)Use of supplementary oxygen to aid tissue oxygenationB)Daily use of normal saline compresses on the lower limbs
C)Daily administration of prophylactic antibioticsD)A high-protein diet that is rich in vitaminsAns:DFeedback:A diet that is high in protein, vitamins C and A, iron, and zinc is encouraged to promote healing and prevent future ulcers. Prophylactic antibiotics and saline compresses are not used to prevent ulcers. Oxygen supplementation does not prevent ulcer formation.39.A 79-year-old man is admitted to the medical unit with digital gangrene. The man states that his problems first began when he stubbed his toe going to the bathroom in the dark. In addition to this trauma, the nurse should suspect that the patient has a history of what health problem?Arterial insufficiency may result in gangrene of the toe (digital gangrene), which usually is caused by trauma. The toe is stubbed and then turns black. Raynaud’s, CAD and varicose veins are not the usual
causes of digital gangrene in the elderly.40.When assessing venous disease in a patient’s lower extremities, the nurse knows that what test will most likely be ordered?Duplex ultrasound may be used to determine the level and extent of venous disease as well as its chronicity. Radiographs (x-rays), PET scanning, and echocardiography are never used for this purpose as they do not allow visualization of blood flow.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture