ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: B
Rationale: The correct answer is B: Use a transfer device to lift the client up in bed. This intervention helps to reduce pressure on the client's skin by redistributing weight and preventing prolonged pressure on bony prominences, decreasing the risk of pressure ulcers. Using a transfer device ensures proper body mechanics and minimizes friction and shearing forces that can lead to skin breakdown. Massaging the skin over bony prominences (
Choice
A) can actually increase the risk of pressure ulcers by causing additional trauma to the skin. Elevating the head of the bed more than 30 degrees (
Choice
C) can increase pressure on the sacrum and heels, leading to skin breakdown. Applying cornstarch (
Choice
D) can create moisture and increase the risk of skin breakdown for sensitive skin areas.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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