Multi Dimensional Care | Exam | Rasmusson

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Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

A nurse assesses an area of skin over a bony prominence. What finding would be most concerning?

A. Redness B. Non-blanching C. Blanching D. Warmth

Correct Answer: A

Rationale:

Question 2 of 5

A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?

A. Collect a culture of the purulent fluid B. Cleanse the skin around the pins C. Administer an antibiotic D. Instruct the client to complete exercise of the affected extremity

Correct Answer: A

Rationale:

Question 3 of 5

What nursing interventions increase the risk the pressure injuries?

A. Padding hard surfaces B. Have client sit in wheelchair as much as possible C. Place pillows between bony surfaces D. Keep head of bed (HOB) at or less than 3

Correct Answer: B

Rationale:

Question 4 of 5

Which organization publishes the National Patient Safety Goals?

A. The Joint Commission B. Medicare C. The American Nurses Association D. The Institute of Medicine

Correct Answer: A

Rationale:

Question 5 of 5

A provider has ordered a wound culture for a client with a non-healing wound. What is the nurse's first action?

A. Label the specimen tube B. Put on non-sterile gloves C. Gently remove the soiled dressings D. Irrigate the wound

Correct Answer: B

Rationale:

Similar Questions

A provider has ordered a wound culture for a client with a non-healing wound. What is the nurse's first action?

An area of erythema on the child's skin is being assessed by the nurse. The nurse presses down on the area, and the area becomes white. What time does the nurse document for this finding?

Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?

A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

A nurse is caring for a client who is post-operative following an open reduction internal fixation (ORIF) of a femur fracture. What is NOT included in the evaluation of the neurovascular status of the client's affected extremity?

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