What is the most effective strategy for the nurse to use in preventing pressure ulcers?

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Question 1 of 5

What is the most effective strategy for the nurse to use in preventing pressure ulcers?

Correct Answer: A

Rationale: Repositioning every two hours redistributes pressure and is the most effective strategy to prevent pressure ulcers.

Question 2 of 5

What is the priority nursing action when caring for a client with a suspected appendicitis?

Correct Answer: C

Rationale: Assessing for rebound tenderness helps confirm the diagnosis of appendicitis, guiding timely surgical intervention.

Question 3 of 5

You're working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first?

Correct Answer: C

Rationale: The red tag indicates the patient must be seen first because they have lifethreatening injuries, but could survive if treated quickly. The patient is still alive but there is a severe alteration in their breathing, circulation, or mental status that requires immediate medical attention.

Question 4 of 5

Which of the following nursing statements regarding the release of a clients medical record to another institution requires immediate follow-up by the nurses manager?

Correct Answer: C

Rationale: Each institution has policies to control the manner for sharing records. In most situations, clients are required to give written permission for release of medical information.

Question 5 of 5

Which of the following is NOT a common cause of falls in healthcare settings?

Correct Answer: D

Rationale: Excessive exercise is not typically identified as a direct cause of falls in healthcare settings compared to environmental factors or medication effects.

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