Case Study: Mr. Bob presents with a sacral ulcer which cannot be staged secondary to thick eschar over 90% of the ulcer. His medical history is significant for severe Alzheimer’s disease and HTN. He is a long term resident in a nursing home as he is non-ambulatory and cannot eat or drink.

You have been successful with Mr. Bob’s wound management and the eschar on his sacral wound has now been removed. A stage 4 ulcer with a deep wound cavity noted, tendons and ligaments are visible during inspection. Which of the following dressings would be contraindicated at this point?

The nurse just informed you that Mr. Bob’s wound culture was positive for MRSA infection. When you remove his dressing you note significant exudate. The most appropriate dressing to use at this point is:

The plan of care indicates that LE strengthening should be initiated. Manual Muscle testing of Mr. Paul’s LE’s reveals that light resistance may be utilized. All of the following would be appropriate except:

Case Study: Mrs. Jade has a history of GERD and mild Parkinson’s disease. She is receiving physical therapy for gait training and ROM following a TKR. Her current medications include Flexeril, Sinemet and Nexium.

Which actions should the nurse take to assess the patency of a newly placed arteriovenous (AV) graft for dialysis? Select all that apply.

One more reminder: Did you scan your desk. If not, do so now and select “yes.” 

A 2-year-old child is admitted to the emergency department with severe asthma symptoms. The attending physician orders a bronchodilator that is available in both solution and MDI preparations. Which of the following is the best delivery system for this drug to this patient?

Your patient with newly diagnosed asthma is being given an albuterol for the first time by small volume nebulizer. Prior to beginning the therapy, the patient’s pulse rate was 80 beats/minute. After starting the treatment, the patient complains of palpitations. His pulse rate is now 138 beats/minute. What should your immediate action be?

Which aerosol delivery device is most appropriate for an 88-year-old patient with dementia?