Mrs Barrón is a 90 year female with Alzheimer's disease. She is confined to bed, has an indwelling urinary catheter and a stage 3 decubitus ulcer on her coccyx

Negligence

During mrs Barton's bed bath, the CNA bathing her left the side rail down on her bed while she went to the linen cart to get more washcloths. This is:

Stage 4

In which stage of AD would mrs Baron be most likely to become an elopement risk?

Fever, pain, medication

Mrs Barton becomes aggressive with staff at times. This may be due to:

Once a shift

Mrs Barton's urinary drainage bag must be emptied at least:

Every 2 hours

This resident should be turned and repositioned at least

875cc

When you empty this residents urinary drainage bag, the measurement is 625cc. In addition, she had a loose stool measuring 175cc, and an emesis of 75cc. What is Mrs Baron output?

Wash the catheter tubing and perineal area once a shift

When you give Mrs. Barton catheter care, you should:

150/90

Which of the following B/P readings would be considered abnormal for this resident?

An open area of skin with deep tissue involvement

Which of the following would be an accurate description of mrs Barton's decubitus ulcer?

invasion of privacy

While you are giving mrs Barton a partial bed bath, you do not drape her with a bath blanket. His is: