ATI Nurs 100 Fundamentals Quiz | Nurselytic

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ATI Nurs 100 Fundamentals Quiz Questions

Extract:


Question 1 of 5

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)

Correct Answer: D,E

Rationale:
Correct
Answer: D, E


Rationale:
D: Using pillows to keep heels off the bed surface helps to prevent pressure ulcers on the heels, a common site for skin breakdown in clients with limited mobility.
E: Minimizing skin exposure to moisture is crucial in preventing skin breakdown as moisture can soften the skin and increase the risk of breakdown.

Incorrect

Choices:
A: Keeping the client's skin dry with powder can actually increase friction and contribute to skin breakdown, especially in areas of high pressure.
B: Implementing a turning schedule every 4 hours is beneficial for preventing pressure ulcers, but it is not specific to preventing skin breakdown in clients with spinal cord injury and paralysis.
C: Massaging over erythematous bony prominences can exacerbate skin breakdown by increasing pressure on already compromised skin.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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