ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 of 5
A nurse is caring for a 25-year-old male quadriplegic client. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility?
Correct Answer: D
Rationale: The correct answer is to provide passive range of motion (ROM). In quadriplegic clients, who have limited or no movement of their limbs, passive ROM exercises are crucial to maintain joint mobility and prevent joint contractures. Administering glucosamine supplements (choice A) is not directly related to promoting joint mobility. Turning the client every 2 hours (choice B) is essential for preventing pressure ulcers but does not directly address joint contracture and mobility. Providing active ROM exercises (choice C) may not be suitable for quadriplegic clients as they are unable to perform these movements on their own.
Question 2 of 5
A client has cellulitis on his left arm. What statement by the client indicates understanding of symptom management?
Correct Answer: C
Rationale:
Question 3 of 5
A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process?
Correct Answer: A
Rationale:
Question 4 of 5
A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?
Correct Answer: B
Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.
Question 5 of 5
What nursing interventions increase the risk the pressure injuries?
Correct Answer: B
Rationale:
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