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The nurse is caring for a 68 year old wheelchair bound male who has come to the clinical with his daughter for a routine checkup. Nurses’ Notes:  1000: Client received for a routine checkup accompanied by daughter with whom he lives. Client has paraplegia secondary to spinal cord injury. Client is alert and oriented x4. Denies pain or any problems. Daughter is concerned about “red area on his left heel.”  VS 97.9F-76-16-112/68 Lungs clear, S1S2 audible with no murmurs, gallops, rubs. Bowel sounds hypoactive. Full range of motion in bilateral upper extremities with light touch sensation intact in fingers. No feeling or movement below waist. Full passive ROM bilaterally in lower extremities. Open area noted on left heel – foul odor detected. Skin otherwise intact.  1015: Left heel wound measures 3.5cmx4c.x1cm. No undermining present. Wound bed is pink with small amount of white subcutaneous tissue noted. Slight foul odor detected. No drainage noted. Skin surrounding injury pink, warm, and dry. Provider and wound nurse notified of wound. 1030: Wound nurse here to assess left heel wound. Confirms stage III pressure injury.  New orders: Cleanse left heel with normal saline and complete wet to dry dressings every 6 hours. Return in two weeks for follow up. What 3 actions should the nurse tell the client and his daughter about wound care?

The nurse is planning care to prevent pressure ulcers in a client who is at high risk.  Which intervention is best for the nurse to perform?

What does the term “ventral” refer to?

While completing a skin audit of an older adult’s skin integrity, expected findings include which of the following?

A client at the eye clinic is newly diagnosed with glaucoma. What should the nurse inform the client might occur if administration of the medication is not closely adhered to?

An elderly patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?

The term “distal” is opposite to which term?

The brain is _____ to the spinal cord.

Answer ONE of the following Name five non-governmental conservation groups – at least one must be Florida-relevant Explain why wetlands are protected. Explain the concept of wetlands banking. Explain the use of a Rapid Assessment Program

Answer ONE of the following Define carrying capacity. Define abiotic factors, with 3 examples. Define biotic factors, with 2 examples. Name three governmental agencies that regulate the environment.