a nurse is teaching a newly hired group of unlicensed assistive personnel about infection control measures on the unit what is the most effective way
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A nurse is teaching a newly hired group of unlicensed assistive personnel about infection-control measures on the unit. What is the most effective way to prevent the spread of pathogens during client care?

Correct answer: B

Rationale:

2. What is the priority nursing diagnosis for a client with immobility?

Correct answer: C

Rationale: The correct priority nursing diagnosis for a client with immobility is 'Risk for impaired skin integrity as evidenced by pressure over bony prominences.' Immobility predisposes the client to the development of pressure ulcers due to prolonged pressure on bony areas. Monitoring and preventing impaired skin integrity is crucial to prevent complications. Choices A, B, and D are not the priority in this case. Constipation, ineffective breathing pattern, and disuse syndrome are important but secondary to the immediate risk of skin breakdown associated with immobility.

3. Which of the following assessments is found in neurovascular compromise?

Correct answer: A

Rationale: Tingling is a common sign of neurovascular compromise.

4. A client arrives speaking only Spanish. What is the priority nursing intervention?

Correct answer: C

Rationale:

5. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?

Correct answer: C

Rationale:

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