a client is bedridden and appears to be frail and malnourished which nursing interventions will increase the risk of pressure injury
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is bedridden and appears to be frail and malnourished. Which nursing interventions will increase the risk of pressure injury?

Correct answer: B

Rationale:

2. The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process?

Correct answer: B

Rationale:

3. A nurse is assessing a client with hallux valgus. What is another term for this assessment finding?

Correct answer: B

Rationale: Hallux valgus is commonly known as a bunion, which is a bony bump that forms on the joint at the base of the big toe. A) Thoracic deformity is unrelated to hallux valgus. C) A corn is a thickened area of skin on the foot, not synonymous with hallux valgus. D) Metacarpal involvement refers to the hand, not the foot where hallux valgus occurs.

4. What activities should the client avoid after cataract surgery? (Select all that apply)

Correct answer: D

Rationale: After cataract surgery, the client should avoid activities that can increase intraocular pressure. Blowing one’s nose and bearing down during defecation can raise the pressure inside the eye, which can be harmful during the healing process. Lifting items heavier than 10 pounds can also lead to an increase in intraocular pressure. Therefore, all the activities mentioned in the choices (nose blowing, bearing down during defecation, and lifting heavy items) should be avoided after cataract surgery to promote proper healing and reduce the risk of complications.

5. What steps are NOT included in preparing a sterile field?

Correct answer: B

Rationale:

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