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?

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Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 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?

A. Remove the nursing diagnosis in the plan of care since it has not occurred B. Change the nursing diagnosis in plan of care to impaired mobility C. Modify the nursing diagnosis in plan of care to impaired skin integrity D. Keep the nursing diagnosis in the plan of care the same since the risk factors are still present

Correct Answer: D

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

Question 2 of 5

Which of the following clients should be placed in isolation for airborne precautions?

A. A high school wrestling championship with a rash B. A client that recently travelled and developed a fever with cough C. A client with an unknown skin infection D. A client with heart palpitations

Correct Answer: B

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

Question 3 of 5

What is the best goal for pain control in a client with RA?

A. The client will eat healthy meals today and stay hydrated B. The client will have throughout the entire day C. The client will have pain less than 3/10 for most of the day D. The client will have pain less than 8/10 throughout the day

Correct Answer: D

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

Question 4 of 5

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. Nociceptive B. Neuropathic C. Visceral D. Cutaneous

Correct Answer: A

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

Question 5 of 5

The nurse is planning care for a post-operative client after a total hip arthroplasty. What is the priority nursing intervention?

A. Observe client for changes in mental status B. Use aseptic technique for wound care and emptying of drains C. Keep the client's heels off the bed D. Perform neurovascular assessments per protocol

Correct Answer: D

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

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