a client has an open wound with creamy thick yellow drainage how would the nurse document this finding
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

Correct answer: A

Rationale:

2. During a skin inspection at the outpatient clinic, the nurse notices patches of thick, red skin with silvery scales on the client's elbows and knees. What skin abnormality does the nurse suspect?

Correct answer: C

Rationale:

3. The nurse uses proper body mechanics to move a client up in bed. What action by the nurse will increase their risk of a workplace injury?

Correct answer: A

Rationale: Placing the bed in the lowest possible position increases the risk of injury because it does not support proper body mechanics. When lifting a client, it is important to have the bed at a comfortable height to avoid strain. Using the legs when lifting (choice B) is correct as it reduces the strain on the back. Keeping feet apart to provide a wide base of support (choice C) helps with stability and balance. Facing the direction of the movement (choice D) is essential for maintaining proper alignment and reducing the risk of injury.

4. An area of erythema on the child's skin is being assessed by the nurse. The nurse presses down on the area, and the area becomes white. What time does the nurse document for this finding?

Correct answer: B

Rationale:

5. By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?

Correct answer: B

Rationale:

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