Leann underwent a bilateral mastectomy with axillary lymph n…

Leann underwent a bilateral mastectomy with axillary lymph node dissection on the left side 10 years ago. You are establishing an aerobic exercise program for her as part of her PT plan of care, & you want to take her baseline vital signs prior to exercise. Which extremity would it be best to take her BP on?

Your patient fell and broke his right hip 4 weeks ago, requi…

Your patient fell and broke his right hip 4 weeks ago, requiring a total hip replacement, pain medication, and rehabilitation. His past medical history includes smoking, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD). He transfers to a TCU (transitional care unit) for therapies and pain management. Unfortunately, his pain medication worked very well, but his staff forgot to put pillows under his calves to offload his heels. He now presents to you with the ulcer pictured below. What is the greatest wound impairment (problem) that you need to address in your wound care plan?

Your patient is a 62 year-old male with a history of diabete…

Your patient is a 62 year-old male with a history of diabetes and a wound on his left first toe. You perform an ankle brachial index (ABI) to screen his limb for arterial insufficiency.  Your results are as follows:  Right arm – 145, Right femoral level (upper thigh) – 200, Right popliteal level (lower thigh) – 190, Right posterior tibialis (ankle) – 180, and Right great toe – 80.  Readings are similar on the left lower extremity.  Your conclusion based on the ABI result is:

You have evaluated a patient with a right medial lower extre…

You have evaluated a patient with a right medial lower extremity wound today. The wound bed is 80% granular, 20% yellow slough. There is moderate wound odor and copious blue-green drainage on the dressings. The border is irregular and macerated.  The periwound is moderately edematous, with moderate distal hemosiderin deposition.  The patient states that his leg swells up throughout the day and weeps into his sock and shoe. The patient has a right ABI of 0.95 and left ABI of 0.7.  Select the correct statement regarding wound etiology and treatment planning.