What nursing interventions increase the risk the pressure injuries?- Skildor

ATI RN

ATI RN Test Bank

Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 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 2 of 5

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

A. I can spread this through contact with surfaces, so I need to wear gloves in public.' B. Because I have HIV, that means I'm an AIDS patient' C. I need to ensure that I place my needles in a proper needle disposal container.' D. I can still have unprotected intercourse with my partner since he does not have HIV.'

Correct Answer: C

Rationale:

Question 3 of 5

The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?

A. Operating room event involving the use of unsafe equipments B. Specific events that enable a hospital to maximize reimbursement C. An unexpected event involving death or serious physical or psychological injury D. An event that can cause serious injury to a client that should never happen in a hospital

Correct Answer: C

Rationale:

Question 4 of 5

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

A. Purulent B. Serosanguinous C. Sanguineous D. Serous

Correct Answer: A

Rationale:

Question 5 of 5

A nurse working in an orthopedic unit is caring for 4 clients. Which of the following clients should the nurse identify as being at highest risk for skin breakdown?

A. An adolescent who has a patella fracture and is in an immobilizer B. A young adult who has a femur fracture and is going to surgery in two hours C. A middle-aged adult who has fractured his radius and has a cast D. An older adult who has a hip fracture and is immobile

Correct Answer: D

Rationale:

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Multi Dimensional Care | Exam | Rasmusson

Skildor

ATI RN

ATI RN

Multi Dimensional Care | Exam | Rasmusson Questions

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