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. What occurs during stage three of bone healing?

Correct answer: B

Rationale: During stage three of bone healing, callus formation occurs. This process involves the formation of a soft callus made of collagen and cartilage, which bridges the gap between bone fragments. Choice A, consolidation, typically happens in later stages and involves the hardening of the callus into mature bone. Choices C and D are incorrect as granulation formation and hematoma formation occur in earlier stages of bone healing, specifically stages one and two, respectively.

3. What nursing interventions increase the risk the pressure injuries?

Correct answer: B

Rationale:

4. What is the priority nursing diagnosis for a client with metastatic bone disease?

Correct answer: C

Rationale: The correct answer is 'Risk for falls.' In clients with metastatic bone disease, weakened bones can lead to an increased risk of falls, making it a priority nursing diagnosis. Chronic pain (choice A) may be present but addressing the risk for falls is more critical in this situation. While impaired mobility (choice B) can be a consequence of metastatic bone disease, preventing falls takes precedence. Risk for infection (choice D) is not the priority in this case, as falls pose a more immediate threat to the client's safety.

5. What is the priority intervention for the nurse to enhance meeting the psychosocial needs of a client on transmission-based precautions?

Correct answer: B

Rationale:

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