ATI RN
RN ATI Fundamentals of Nursing 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: A
Rationale:
Correct
Answer: A: Elevate the head of the bed no more than 45°.
Rationale:
1. Elevating the head of the bed no more than 45° helps to reduce pressure on bony prominences, preventing pressure ulcers.
2. This position helps to distribute body weight more evenly, reducing the risk of skin breakdown.
3. Elevating the head of the bed also aids in proper body alignment, promoting better circulation and oxygenation to the skin.
Summary of Incorrect
Choices:
B. Using a transfer device to lift the client up in bed does not directly address skin integrity and pressure ulcer prevention.
C. Massaging the skin over bony prominences can increase friction and shear forces, leading to skin damage.
D. Applying cornstarch can create a moist environment, increasing the risk of skin breakdown and exacerbating pressure ulcers.
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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