Answer the 4 questions that is in

Answer the 4 questions that is in the bottom box. use the information that is above for the questions Logan Kovac is an 81-year-old client/patient who arrived via ambulance from a nursing home earlier this morning. The client/patient’s primary diagnosis is COPD exacerbation, pneumonia, and dehydration. Previous Medical History: Emphysema/COPD, Smoker (1 PPD x 60 years- quit 2 years ago), remote cerebrovascular accident with residual right sided weakness. Allergies: Iodine Resuscitation: Full Code Fall Risk: High Ht/Wt: 5’2″ / 93 lbs Recent Vital Signs: 98/62, 88 and regular, 38 and labored, 100.4° F (38° C). Pain assessment: Denies pain Respiratory assessment: Rhonchi noted throughout lower lung fields, O2 sats 92% on 4 L NC. Productive cough of green, thick sputum. Cardiovascular assessment: Rate is regular, S1 and S2 auscultated. Pedal pulses 1+ bilaterally. Neurological assessment: Patient is alert and oriented to person and place. He/she/they is forgetful but is easily reoriented to time and situation. Gastrointestinal assessment: Last BM was yesterday evening. It was soft and brown- client/patient is incontinent of stool. Per the nursing home, client/patient tolerates a mechanical soft diet but has had a poor appetite for the last few days. Genitourinary assessment: Incontinent of urine. Musculoskeletal assessment: Generalized weakness, right sided weaker than left. Unable to reposition self in bed without assistance. Integumentary assessment: Diaphoretic at times, warm to the touch. IV: 22 gauge Peripheral IV inserted to left arm, IVF infusing at 75 mL/hour. Diagnostic Testing Results: Diagnostic Test Normal Range Results Na 132 mEq/L K 3.6 mEq/L Glucose 120 mg/dL Bun/Creatinine 35 mg/dL and 1.4 mg/dL WBC 12 000 mm3 Hgb 8.1 g/dL Hct 24 mL/dL (%) Albumin 2.2 g/dL Protein 3.1 g/dL COVID RT-PCR NAAT Negative Using the data included in the report and what you can assess/observe in this client/patient, complete the following: 1. Identify areas most at risk for skin breakdown in this client/patient. 2.Complete the Braden Scale Risk Assessment for this client to identify the level of risk for skin breakdown. 3.Consider additional factors that contribute to the development of pressure ulcers/skin breakdown for this client/patient. 4.Which nursing actions should you include in this client/patient’s plan of care?

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