a provider has ordered a wound culture for a client with a non healing wound what is the nurses first action
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A provider has ordered a wound culture for a client with a non-healing wound. What is the nurse's first action?

Correct answer: B

Rationale:

2. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

Correct answer: C

Rationale:

3. Death of bone tissue can occur when the blood supply to the bone is disrupted. What is this complication called?

Correct answer: B

Rationale: The correct answer is B, avascular necrosis. Avascular necrosis is the condition where bone tissue dies due to the disruption of blood supply to the bone. Reflex sympathetic dystrophy (Choice A) is a chronic pain condition, delayed union (Choice C) refers to a delayed healing of a fracture, and complex regional pain syndrome (Choice D) is a chronic pain condition typically affecting an arm or leg.

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

Correct answer: A

Rationale: Tingling is a common sign of neurovascular compromise.

5. What is the best intervention to reduce the risk of falling in the hospital room for a blind client being cared for?

Correct answer: D

Rationale: The best intervention to reduce the risk of falling in the hospital room for a blind client is to orient the client to the location of objects in the room. This helps the client navigate safely and independently. Choices A, B, and C are incorrect because telling the client's family to stay overnight, applying restraints, and shouting are not appropriate interventions for preventing falls in a blind client; in fact, they could potentially lead to increased anxiety and risk of falls.

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