ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
What intervention should the nurse implement first for a client with a right below-the-knee amputation and a large amount of bright red blood on the dressing?
Correct Answer: A
Rationale: Bright red blood indicates active bleeding necessitating immediate surgeon notification.
Question 2 of 5
The nurse is preparing to administer subcutaneous Lovenox, a low molecular weight heparin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Lovenox is administered in the anterolateral abdomen for optimal absorption and to avoid muscle tissue.
Question 3 of 5
The nurse has given the client instructions about crutch safety. Which statement indicates that the client understands the instructions?
Correct Answer: C
Rationale: The original multiple-answer question is restructured. The correct answer, derived from options 1, 2, and 4, is that the client should have spare crutches and tips available, but here 'I need to remove any scatter rugs at home' (from the original set) is adapted as a safety measure to prevent slipping, aligning with crutch safety principles.
Question 4 of 5
The client is scheduled for right-eye cataract removal surgery in five (5) days. Which preoperative instruction should be discussed with the client?
Correct Answer: D
Rationale: Avoiding aspirin reduces bleeding risk during cataract surgery, a key preoperative instruction since it's typically an outpatient procedure.
Question 5 of 5
The client is scheduled for ear surgery. Which statement indicates the client needs more preoperative teaching concerning the surgery?
Correct Answer: D
Rationale: Shampooing the day after ear surgery risks water entering the ear, potentially causing infection or disrupting healing, indicating a need for more teaching.