A. Define Assessment Collects comprehensive data pertinent to the patient's health and/or situation. Minimize patient discomfort, shortest length ..I didnt get to the bad news yet would be inappropriate at any time. withdraw needle smoothly at same angle as insertion hold dropper 1/2 inch above nares Two pronged approach to assess the environment and the patient After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. - Each hospital has its own policy tubing mgt, know it Wrong Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture.Question 23A patient about to undergo abdominal inspection is best placed in which of the following positions?ATrendelenburgBSide-lying CSupineDProneQuestion 23 Explanation: The supine position (also called the dorsal position), in which the patient lies on his back with his face upward, allows for easy access to the abdomen. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. Which of the following is an example of nursing malpractice? Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. Planning - Buccal: by the cheek Which of the following vascular system changes results from aging? Time used The nurse administers penicillin to a patient with a documented history of allergy to the drug. The need to move the feet apart to maintain this stance is an abnormal finding. (can be as low as 12) question 47. BIneffective individual coping to COPD.CIneffective airway clearance related to dry, hacking cough.D Ineffective airway clearance related to thick, tenacious secretions.Question 22 Explanation: Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. She should notify the physician if the urine output is: Dehydration Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. Body alignment: anterieor aspects of thighs Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. shiny or dry Quad to administer medications safely and identify problems with the system polypharmacy The physician orders a platelet count to be performed on Mrs. Smith after breakfast. A normal adult body temperature, as measured on an oral thermometer, ranges between 97 and 100F (36.1 and 37.8C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. The correct sequence for assessing the abdomen is: 18. - Lying on back, support with pillows, trochanter rolls, or splints Prone Due to ability to contract and relax are the working elements of movement. Atheroscleotic changes in the blood vessels B. Question 31 Explanation: Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patients ability to carry out these functions safely. Accompanying him will offer moral support, enabling him to face the rest of the world. read & record results 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End Start Single one time dose Symmetry Age is also a factor.
Fundamentals of Nursing EXAM 2 Flashcards | Quizlet Ineffective individual coping related to COPD is wrong because the etiology for a nursing diagnosis should not be a medical diagnosis (COPD) and because no data indicate that the patient is coping ineffectively. B. In the genupectoral (knee-chest) position, the patient kneels and rests his chest on the table, forming a 90 degree angle between the torso and upper legs. 5. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. ..I didnt get to the bad news yet would be inappropriate at any time. SKELETAL SYSTEM, Provides attachments for muscles and ligaments and the leverage necessary for movement: Insert an airway Air or blood is trapped in the pleural space; - flow sheet must be completed on every patient in retraint Toddler Removing the bodys clothing and wrapping the body in a shroud Respiration should be between 16-20 suspension ice to site before injection An appropriate nursing diagnosis would be: - Pneumothorax ASittingBTrendelenburg CStandingDGenupectoralQuestion 47 Explanation: During a Romberg test, which evaluates for sensory or cerebellar ataxia, the patient must stand with feet together and arms resting at the sidesfirst with eyes open, then with eyes closed. Good luck! prevent contamination of solution Document in a timely fashion, Person on the blunt end of the needle is responsible for the sharp end of the needle 48. Question 6Mrs. Household measurements as drainage is being emptied out of reservoir, compress the device until bottom and top are in contact, quickly cleanse opening Mrs. Mitchell has been given a copy of her diet. Which of the following parameters should be checked when assessing respirations? 3. Impaired gas exchange Skip to document. B. D. Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. & drink, Impaired skin integrity 2. Exercise Anxiety will not cause an elevated temperature. The other answers are diseases that can occur in the elderly from physiologic changes. What should the nurse do? The need to move the feet apart to maintain this stance is an abnormal finding. Side rails are ineffective In the home- inadequate lighting and physical barriers (doors, stairs, curbs, furniture), Concerns for the Transmission of Pathogens, Hand hygiene - most effective way to limit spread of pathogens (gel in, gel out), Common developmental safety hazards for INFANT/TODDLER/PRESCHOOLER, Common developmental safety hazards for SCHOOL-AGE CHILD, Common developmental safety hazards for ADOLESCENT, Drug/alcohol use/abuse Correct Answer Increased peripheral resistance of the blood vessels dx of depression or anxiety Supine Disturbed body image St.Johns Wart is the worst. D. Alzheimer;s disease, sometimes known as senile dementia of the Alzheimers type or primary degenerative dementia, is an insidious; progressive, irreversible, and degenerative disease of the brain whose etiology is still unknown. Then put air into clear vial O2 can be extremely drying. High- humidity air and chest physiotherapy help liquefy and mobilize secretions. tincture An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. sensory deprivation or overload The nurse is responsible for: Relationship of one body part to another A patient demonstrating symptoms of drugs or alcohol withdrawal The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. - amputations Pulmonary function Receiving, transcribing, and communicating medication orders Genupectoral side-lying position with ear to be treated facing up An apathetic 63-year old COPD patient receiving nasal oxygen via cannula. Placing one pillow under the bodys head and shoulders In Maslows hierarchy of physiologic needs, the human need of greatest priority is: Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. The other answers are incorrect interpretations of the statistical data. Stress test After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. death of subcutaneous fat tissue and muscle degeneration NEVER recap needle Question 27Examples of patients suffering from impaired awareness include all of the following except:AA patient who cannot care for himself at homeBA semiconscious or over fatigued patientCA patient demonstrating symptoms of drugs or alcohol withdrawal DA disoriented or confused patientQuestion 27 Explanation: A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. Systolic blood pressure Exam 1 Fundamentals Of Nursing Flashcards Quizlet. Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions? 29. In this case, the supervisor is the resource person to approach. Moisture retentive dressings. Used to administer medications in small precise doses, 0.3-1 mL capacity These changes, in turn, increase the work load of the left ventricle. -Assess and examine the patient. In the Trendelenburg position, the head of the bed is tilted downward to 30 to 40 degrees so that the upper body is lower than the legs. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. What are the factors that influence absorption? - If too premature, it can be born before surfactant develops Hypercapnia, hypoxemia, fever, pregnancy, wound healing Question 24Which of the following vascular system changes results from aging?AIncreased peripheral resistance of the blood vesselsBAll of the above CDecreased blood flowDIncreased work load of the left ventricleQuestion 24 Explanation: Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. What should the nurse do? Ability of the medication to dissolve Intraocular: eye drops or eye ointment (intraopthalmic) Parkinsons disease hand hygiene before handling equipment. right drug Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. - Smoking - Teach kids and parents how to manage situations Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Chest physiotherapy capsule psychosocial techniques, Oxygen supply, methods of oxygen delivery, hydration, humidification, nebulization The physician is responsible for instructing the patient about the test and for writing the order for the test. cleanse area Diagnose & Plan, NANDA-I list (adult- a handbreadth above knee to a handbreadth below the greater trochanter of the femur) A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Question 47During a Romberg test, the nurse asks the patient to assume which position? - Cupping your hand and pat the back creating a vibration to move fluids along -Documenting patient's response to medication - Rates if 8-15 liters - low O motivates COPD patient to breathe The four main concepts common to nursing that appear in each of the current conceptual models are: Circulatory overload and respiratory excitement have no relevance to the question. Auscultation, percussion, and palpation 10. Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. The body of an organ donor is available for burial. **place heal of hand over greater trochanter of hip with wrist perpendicular to femur; point thumb toward client groin; point index finger toward anterior superior iliac spine; extend middle finger along the iliac crest toward buttock; injection site is in the triangle formed, preferred site of immunizations in infants, toddlers, and children; thick and well developed Question 43The most common deficiency seen in alcoholics is:APyridoxineBThiamineCPantothenic acid DRiboflavinQuestion 43 Explanation: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. Pantothenic acid AA ham and Swiss cheese sandwich on whole wheat breadBChicken bouillon CA tossed salad with oil and vinegar and olivesDMashed potatoes and broiled chickenQuestion 6 Explanation: Mashed potatoes and broiled chicken are low in natural sodium chloride. Palpating the midclavicular line is the correct technique for assessing. Good luck! 48. 96 Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions? Side rails are a reminder to a patient not to get out of bed. Activity tolerance. The nurse is responsible for giving the patient breakfast at the scheduled time. A) Instruction was done at the bedside by a physician in the U.S. B)Curriculum in American schools was more standardized C)Student nurses in the U.S. worked for minimum wage D)The nightingale program was less organized A) Instruction was done at the bedside by a physician in the U.S. 2/8 Fundamentals of Nursing Ch. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. You scored %%SCORE%% out of %%TOTAL%%. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. 30. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Person, health, psychology, nursing Medication Dose Responses, expected effects that don't contribute to helping the patient Cotton ball to outermost part of ear canal is acceptable if prescriber orders-do not press into canal, remove after 15 minutes, instruct client to clear nose unless contraindicated Encourage the patient to increase her fluid intake to 200 ml every 2 hours The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. - Suction control - expect to see gentle bubbling that stops ** Patient should cough every two hours, Oropharyngeal and nasopharyngeal Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. very young and very old Immediately dispose of needle in sharps container What do nurses need to be aware of regarding patient safety, A safe environment reduces the risk for accidents, Safety, Moving & transferring patients, Medication Administration, Insulin, Oxygenation oxygen therapy, Correct Answer Question 47Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?ASide rails are a reminder to a patient not to get out of bed BSide rails are a deterrent that prevent a patient from falling out of bed.CSide rails should not be usedDSide rails are ineffectiveQuestion 47 Explanation: Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. Question 26Which of the following parameters should be checked when assessing respirations? Which of the following nursing interventions has the greatest potential for improving this situation? The nurses most important legal responsibility after a patients death in a hospital is: 49. Patient releases the restraint and falls and injures him/herself, Smoke detectors . Any items you have not completed will be marked incorrect. - Protein binding AWriting the order for this testBAll of the above CInstructing the patient about this diagnostic testDGiving the patient breakfastQuestion 42 Explanation: A platelet count evaluates the number of platelets in the circulating blood volume. This information is documented and reported to the physician and the nursing supervisor. Question 33The most common deficiency seen in alcoholics is:AThiamineBPantothenic acid CRiboflavinDPyridoxineQuestion 33 Explanation: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. slough or eschar present in parts of the wound bed - Atelectisis Tachypnea is rapid respiration characterized by quick, shallow breaths. Certain substances increase the amount of urine produced. All of the above Question 34For a rectal examination, the patient can be directed to assume which of the following positions?AGenupecterolBSimsCAll of the above DHorizontal recumbentQuestion 34 Explanation: All of these positions are appropriate for a rectal examination. The infant falls off the scale, suffering a skull fracture. - Monitor side effects Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. taken into the body or administered in a manner other than through the digestive tract- intradermal, subcutaneous, intramuscular, intravenous. plan to safely handle and dispose of needles before procedure begins Multiple sclerosis, a progressive, degenerative disease involving demyelination of the nerve fibers, usually begins in young adulthood and is marked by periods of remission and exacerbation. Palpating the midclavicular line is the correct technique for assessing. 5. Withdraw all pain medications - Musculoskeletal abnormality,- paralysis may take away respiratory drive Influenza and pneumococcal vaccine Mitchell has been given a copy of her diet. Correct dosage 39. Don't require refrigeration Patient education seconds You scored %%SCORE%% out of %%TOTAL%%. Waiting to consult a physical therapist is unnecessary. Inhibition of the respiratory hypoxic stimulus The patient uses her dominant hand to insert the suppository along the posterior wall of the vaginal canal. C. Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. inject med slowly and smoothly Assault Question 32Which of the following is an example of nursing malpractice?AThe nurse administers penicillin to a patient with a documented history of allergy to the drug. Which of the following nursing interventions has the greatest potential for improving this situation? None of the above - may need assistance to cross the blood brain barrier They also seem to gain a greater sense of achievement and esprit de corps. Childhood In order for meds to be useful they have to get to the area that needs to be treated. Stress - Respiratory pattern rotate sites Place a humidifier in the patients room. Its only temporaryBYour hair is really prettyCWhy are you crying? C. A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Written report within 24 hours of occurrence, Comparison of medications taken at home and prescribed when in the health care setting, Change in patient's condition NO BONE, TENDON OR MUSCLE EXPOSED If this activity does not load, try refreshing your browser. Two patient identifiers Use the formation of water from hydrogen and oxygen to explain the following terms: chemical reaction, reactant, product. Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. The nurse administers the wrong medication to a patient and the patient vomits. Two forms of identification: name and birthdate remove protective covering Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy Keep it simple Explain in detailed medical terms - Chemical structure of medication determines where excretion occurs The nurse documents this breathing as:ATachypneaBEupncaCOrthopneaDHyperventilation Question 41 Explanation: Orthopnea is difficulty of breathing except in the upright position. - protects against aspiration, Nurse's Role in an Endotracheal Intubation, Know the proper equipment and its use A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Which is the most appropriate response from the nurse? Your answers are highlighted below. 41. 2. communicate with patient/ family Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Fundamentals of Nursing Exam 2 Term 1 / 79 What are the 4 purposes of a physical exam? Management: maintain clean and moist wound environment and minimize damage to healing tissue, removed drainage from the wound with slight vacuum You got 50 minutes to finish the exam .Good luck! When your patient eats, you use buttons on the pump to give additional or "bolus" insulin to cover the carbohydrates in the meal. If you prepare the med, who should administer it? Discourage them from making a decision until their grief has eased Supositories C. A platelet count evaluates the number of platelets in the circulating blood volume. A platelet count evaluates the number of platelets in the circulating blood volume. Reusability C. An Asian patient is likely to hide his pain. -Must be allowed to toilet, eat. Apical Results Monitor determined by the physician as well as the frequency patient education, Locked cabinet - Wrong medication, route, and time The most common deficiency seen in alcoholics is: Mrs. Lim begins to cry as the nurse discusses hair loss. - Pulmonary edema ( no gas exchange with the lungs) Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. These include: Which findings should be reported?ATemperature and respiratory rate BRespiratory rate onlyCPulse rate and temperatureDTemperature onlyQuestion 8 Explanation: Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. Fundamentals of Nursing University Keiser University Fundamentals of Nursing Add to My Courses Documents (326) Questions Students (625) Book related documents Kozier and Erb's Fundamentals of Nursing Volume 1-3 Barbara Kozier; Glenora Erb; Audrey Berman; Shirlee Snyder; Tracy Levett-jones Lecture notes Date Rating year Ratings Show 8 more documents D. Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Metered dose You build on each experience by pulling . Also, this page requires javascript. Final Score on Quiz Thus, an axillary temperature of 99.6F (37.6C) would be considered abnormal. Correct body alignment reduces strain on musculoskeletal structures, maintains muscle tone, and contributes to balance. In the prone position, the patient lies on his abdomen with his face turned to the side. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Advantages of insulin pen: "activity intolerance related to COPD as evidence by dyspenia when walking to car" - anxiety attacks/pain/fear Shaded items are complete. Ensure that client has taken medications before leaving the room Right dose - Normally for sleep apnea. Bed rest and oxygen by Venturi mask at 24% would improve oxygenation of the tissues and cells but must be ordered by a physician. Clear knowledge Hourly -"I will bring the medication back to your room once you return from the bathroom." In the Trendelenburg position, the head of the bed is tilted downward to 30 to 40 degrees so that the upper body is lower than the legs. The correct sequence for assessing the abdomen is: - Face down Less than 2 mL total volume Sims Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. Reporting procedures Circulatory overload and respiratory excitement have no relevance to the question. - nervous system disease, 33. Accompany the patient for his walk. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. Proper positioning of client Increased pulse rate and blood pressure Capsules behavioral- anxiety, agitation, consiousness These include:ABeetsBCaffeine-containing drinks, such as coffee and cola.CKaolin with pectin (Kaopectate) DUrinary analgesicsQuestion 7 Explanation: Fluids containing caffeine have a diuretic effect. 35. Thus, any act that a nurse performs on the patient against his will is considered assault and battery. The nurse could be charged with: The body of an organ donor is available for burial. ____________ _____________ between sides and sites, _____________ removing articles from extremities without consent. 1. verify rights Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. - Anti Inflammatory, Tablets Patient's perspectives Dont worry.. offers some relief but doesnt recognize the patients feelings. - Reposition every two hours to reduce the risk of infection Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors Question 4A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. rotate sites, Position cotton ball or tissue with non-dominant hand on cheekbone just below lower lid Such a patient is unlikely to display emotion, such as crying. Your score is - Asthma Regulates movement and posture, proprioception and balance with the precentral gyrus (motor strip) in the cerebral cortex. Your answers are highlighted below. hold syringe steady while needle is in tissue - spine is flexed, lacks curves that adult has ARateBAll of the above CSymmetryDRhythmQuestion 26 Explanation: The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. - Nurse needs to know # of mLs and what to expect A normal adult body temperature, as measured on an oral thermometer, ranges between 97 and 100F (36.1 and 37.8C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. Exit alarms/pads when patient gets out of bed, When a patient is a danger to themselves or tp stop them from pulling out catheters and other medical devices - Move from side to side allows for secretions and expansion Fever, exercise, and sympathetic stimulation all increase the heart rate. Which of the following patients is at greatest risk for developing pressure ulcers? Question 36A patient about to undergo abdominal inspection is best placed in which of the following positions?AProneBTrendelenburgCSide-lying DSupineQuestion 36 Explanation: The supine position (also called the dorsal position), in which the patient lies on his back with his face upward, allows for easy access to the abdomen. - semiprone on right or left side with weight placed on anterior ilium, humerus, & clavicle, Patient safety - 1st priority This information is documented and reported to the physician and the nursing supervisor. report descrepencies Abdominal girth is unrelated to blood loss. Which of the following is the most common cause of dementia among elderly persons? Question 8In Maslows hierarchy of physiologic needs, the human need of greatest priority is:ANutritionBEliminationCLoveDOxygen Question 8 Explanation: Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. Sympathetic nervous system stimulation A125 ml in 4 hours B64 ml in 2 hoursC90 ml in 3 hoursDLess than 30 ml/hourQuestion 19 Explanation: A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake. Pedal (Choose all that apply) What are the nine rights medication administration? Your hair is really pretty offers no consolation or alternatives to the patient. When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to: Please wait while the activity loads. PRN - as needed / per requested Person, nursing, environment, medicine You Selected 246 Which of the following nursing interventions has the greatest potential for improving this situation?AContinue administering oxygen by high humidity face maskBPerform chest physiotheraphy on a regular schedule CEncourage the patient to increase her fluid intake to 200 ml every 2 hoursDPlace a humidifier in the patients room.Question 25 Explanation: Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. and exocrine glands disposable, prefilled, sterile, cartridge units, glass container with a constricted, pre-scored neck Is patient better or worse? The physician orders a platelet count to be performed on Mrs. Smith after breakfast. 11. B. To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. She should notify the physician if the urine output is: Fundamentals Exam 2 The nurse evaluates which laboratory values to assess a patient's potential for wound healing? shallow open Roll in hand * Try to strategically plan how far walking by having a chair available nearby.