Which of the following nursing interventions is done when examining the incision wound and changing the dressing?

Questions 100

ATI RN

ATI RN Test Bank

Biological Basis of Behavior Quizlet Questions

Question 1 of 5

Which of the following nursing interventions is done when examining the incision wound and changing the dressing?

Correct Answer: C

Rationale: The correct answer is C: Wash hands. This is the first step in any nursing intervention to prevent infection. Washing hands before examining the incision wound and changing the dressing helps reduce the risk of introducing harmful bacteria. By washing hands, the nurse maintains aseptic technique and minimizes the chance of contaminating the wound. Choice A is incorrect because observing the dressing and drainage comes after washing hands to ensure a clean environment. Choice B is unnecessary for a routine wound dressing change. Choice D is incorrect because requesting the client to expose the wound should only be done after ensuring proper hand hygiene.

Question 2 of 5

After ileostomy, which of the following condition is NOT expected?

Correct Answer: A

Rationale: The correct answer is A: Increased weight. After ileostomy, patients typically experience weight loss due to decreased absorption of nutrients. Irritation of skin around the stoma is expected due to frequent contact with stool. Liquid stool is common as the colon is bypassed, resulting in decreased water absorption. Establishment of regular bowel movement is also expected post-ileostomy once the intestinal tract adjusts. Therefore, increased weight is not expected due to decreased nutrient absorption.

Question 3 of 5

Where would nurse Kristine place the call light for a male client with a right-sided brain attack and left homonymous hemianopsia?

Correct Answer: A

Rationale: The correct answer is A: On the client's right side. Placing the call light on the right side ensures it is within the client's visual field, considering the left homonymous hemianopsia. This positioning helps the client locate and reach the call light independently, promoting autonomy and safety. Placing the call light on the left side (B) or directly in front of the client (C) may be out of the visual field, leading to difficulty in noticing it. Placing it where the client likes (D) does not consider the client's visual deficits and may not be the most appropriate placement for ensuring prompt assistance.

Question 4 of 5

Mrs. Cruz, 80 years old is diagnosed with pneumonia. Which of the following symptoms may appear first?

Correct Answer: A

Rationale: The correct answer is A: Altered mental status and dehydration may appear first in an elderly patient with pneumonia due to age-related physiological changes affecting their ability to regulate fluids and electrolytes. This can lead to confusion and reduced intake of fluids, causing dehydration. Fever and chills (B) typically occur after the infection progresses. Hemoptysis and dyspnea (C) are more characteristic of conditions like pulmonary embolism or lung cancer. Pleuritic chest pain and cough (D) are common symptoms of pneumonia but usually develop after the initial onset of infection.

Question 5 of 5

Nurse Len is teaching a group of women to perform BSE. The nurse should explain that the purpose of performing the examination is to discover:

Correct Answer: C

Rationale: The correct answer is C: Changes from previous examinations. The purpose of Breast Self-Examination (BSE) is to help women become familiar with the normal look and feel of their breasts so they can detect any changes early. By regularly performing BSE and comparing the findings to previous examinations, women can identify any new or unusual changes such as lumps, thickening, or other abnormalities that may indicate a potential health concern. This approach allows for early detection of breast abnormalities and promotes timely medical intervention if necessary. Choices A, B, and D focus on specific characteristics or conditions, but the primary goal of BSE is to identify changes over time.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions