ATI RN
ATI Nurs 100 Fundamentals Quiz 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: C
Rationale: The correct answer is C: Lift, rather than pull, to lift the client up in bed. This intervention helps in preventing shearing forces that can lead to pressure ulcers in older adults. Shearing occurs when the skin moves in one direction and the underlying tissues move in the opposite direction, causing damage to blood vessels. By lifting the client instead of pulling, the nurse reduces the risk of shearing. Elevating the head of the bed no more than 45° (
A) can help in reducing pressure on the skin but is not as effective as proper lifting techniques. Applying baby powder (
B) can actually increase the risk of skin irritation and should be avoided. Massaging reddened skin (
D) can further damage the skin and worsen the pressure ulcer.
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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