Questions 9

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Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale, cool and swollen. What action does the nurse take next?

Correct Answer: B

Rationale:

Question 2 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 3 of 5

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?

Correct Answer: D

Rationale:

Question 4 of 5

The nurse assesses a wound with exudate. What should not be included when documenting the exudate?

Correct Answer: C

Rationale:

Question 5 of 5

A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?

Correct Answer: D

Rationale:

Similar Questions

A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?
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