ATI RN
ATI Med Surg 102 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is malnourished with poor skin integrity. The nurse should utilize which type of dressing to protect the client's bony prominences?
Correct Answer: B
Rationale: Non-adherent dressings minimize trauma to fragile skin over bony prominences, suitable for malnourished clients.
Question 2 of 5
A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until his femur can be rodded in surgery. For what early complications should the nurse monitor this client? Select all that apply.
Correct Answer: B,C,D,E
Rationale: B: Compartment syndrome is an early risk due to swelling in confined spaces. C: Fat embolism is a concern with long bone fractures. D: DVT is a risk due to immobility. E: Pulmonary emboli can result from DVT. A: Malunion is a later complication.
Question 3 of 5
A nurse is teaching a group of nursing students about pyelonephritis. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Pyelonephritis, an upper urinary tract infection, can lead to kidney damage if untreated.
Question 4 of 5
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Correct Answer: C
Rationale: Increasing edema in a fractured leg suggests acute compartment syndrome due to pressure buildup in muscle compartments.
Question 5 of 5
A nurse educator is providing an in-service to nursing staff about urinary tract infections (UTP). Which statements made by the staff validate they understand the etiology and pathophysiology of UTIs? Select all that apply.
Correct Answer: A,B,C,E
Rationale: A: Correct, urethrovesical reflux can introduce bacteria into the bladder, increasing UTI risk. B: Incorrect, women have shorter urethras, increasing UTI risk, but the statement is correct in context of prevalence. C: Correct, GAG protects against bacterial adherence. D: Incorrect, E. coli is the most common cause. E: Correct, the urinary tract above the urethra is normally sterile.