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An elderly patient with chronic obstructive pulmonary disease (COPD) and pneumonia was admitted to the hospital. The patient reports a 40-year history of smoking. He is able to ambulate independently for short distances, such as to the bathroom, and does so frequently. The patient is alert and oriented and reports that his food intake is always poor because it is too difficult to eat and breathe at the same time. His current vital signs are B/P 112/76, temperature 100.2 °F (37.9°C), pulse 96, and respiratory rate 30. He denies having any pain.

Which factors possessed by this patient place him at risk for pressure injury development?

A) His age and chronic disease
B) Level of mobility
C) Poor nutritional intake and history of smoking
D) Elevated pulse
E) Anemia

Answer :

Final answer:

The elderly patient with COPD is at risk for pressure injury development due to his age and chronic disease, poor nutritional intake, and a long history of smoking.

Explanation:

The patient in question is at risk for pressure injury development due to several factors. Considering the patient's status, the factors that place him at higher risk are:

  • His age and chronic disease: The patient's elderly status, coupled with chronic obstructive pulmonary disease (COPD), makes his skin more vulnerable to breakdown and injury.
  • Poor nutritional intake: Nutrition plays a crucial role in skin health, and inadequate food intake due to difficulty eating can lead to skin deterioration and subsequent pressure injuries.
  • History of smoking: Smoking can impair circulation and skin health, increasing the risk for pressure injuries.

While the elevated pulse and anemia can be concerning, they are not as directly related to pressure injury development as the other factors listed.

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Rewritten by : Barada