Multi Dimensional Care | Exam | Rasmusson

Questions 133

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Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

Which of the following would be the most appropriate goal for an elderly client with a nursing diagnosis of risk for injury after hip surgery?

Correct Answer: D

Rationale:

Question 2 of 5

What is the nurse's priority action for a client with compromised immunity?

Correct Answer: A

Rationale:

Question 3 of 5

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

Correct Answer: B

Rationale:

Question 4 of 5

The nurse is caring for 4 clients. What client should the nurse see first?

Correct Answer: C

Rationale: The correct answer is the client on Methotrexate with a fever. Fever in a client on Methotrexate, an immunosuppressant, could indicate a serious infection or adverse drug reaction requiring immediate attention to prevent complications. The other choices do not present immediate life-threatening concerns. A client with lupus asking for dinner can wait, a client with chronic rheumatic pain may need pain management but is not the priority over a fever in a client on Methotrexate, and a client with children visiting does not pose an urgent medical issue.

Question 5 of 5

By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?

Correct Answer: B

Rationale:

Similar Questions

By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?
The client is at risk for impaired skin integrity related to the need for several weeks of bedrest. The nurse evaluates the client after 1 week and finds skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action?
A client recently had an above the knee amputation and complains of pain distal to the amputation. What type of pain is the client experiencing?
A nurse is caring for an intubated and sedated geriatric client. What intervention is most appropriate for reducing the risk for a friction and shear injury?
The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

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