Chapter 1, Problem 2.7E

Rewrite the following statements using the appropriate language for nursing documentation. Elderly patient has been physically abused – multiple bruises that definitely look like finger marks found on patient’s arms bilaterally. RN asked granddaughter if her boyfriend is physically abusing pt. – she lied and said the patient fell and banged his arms on the kitchen table; RN notified social services that this is a clear case of elder abuse.

Top 2 nursing priority diagnosis

1. An elderly client had recent surgery and is on bed rest. When planning care for the client, which nursing intervention is included in the care plan? a. Daily assessment of the wound site b. Foot and ankle range-of-motion(ROM) exercises c. Wound cleaning with hydrogen peroxide d. Coughing and deep breathing in the prone position