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?

Nurselytic

Home

ATI RN

ATI RN

ATI RN Test Bank

Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 9

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?

A. Use a mechanical lift to reposition the client every 2 hours B. Elevate the client's head of the bed to 45 degrees C. Postpone daily bed bath D. Caregiver independently slides the client up in the bed

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

A client sustains an injury to his heel while the unlicensed assistive personnel and the nurse are moving him up in bed. What force caused the injury?

A. Shearing or friction B. Twisting and bending C. Pressure or gravity D. Chemical or pressure

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

What complication of wound healing is an abnormal passage that connects two body cavities or a cavity and the skin?

A. Fistula B. Hemorrhage C. Evisceration D. infection

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process?

A. Primary intention B. Binary intention C. Secondary intention D. None of the Above

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

The client complains of fatigue and joint pain and reports that they are unable to walk due to pain in the knees. What is the most appropriate statement by the nurse?

A. "You just have arthritis and should take some ibuprofen."? B. "You should avoid walking. This might be osteoporosis."? C. "Please tell me more about when your pain started."? D. "You need to lose weight or the pain won't go away."?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

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?

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

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

What does CREST stand for?

A. Calcinosis, Raynaud's, Esophageal dysmotility, Sclerodactyly and Telecines B. Calcinosis, Reverse isolation, Esophageal dysmotility, Sclerodactyly and Telangiectasia C. Calcinosis, Raynaud's, Everted colon, Sclerodactyly and Telangiectasia D. Calcinosis, Raynaud's Esophageal dysmotility, Sclerodactyly and telangiectasia

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

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

A. Wash hands before entering the client's room B. Take the client's vital signs every 4 hours C. Determine whether it is temporary or permanent D. Teach the family members to receive the flu shot annually

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

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: Failed to generate a rationale of 500+ characters after 5 retries.

Access More Questions!

ATI RN Basic

$89/ 30 days

ATI RN Premium

$150/ 90 days