the nurse assesses a wound with exudate what should not be included when documenting the exudate
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse assesses a wound with exudate. What should not be included when documenting the exudate?

Correct answer: C

Rationale:

2. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

Correct answer: D

Rationale:

3. What is the best nursing intervention for a client with limited mobility who cannot move independently?

Correct answer: A

Rationale: The best nursing intervention for a client with limited mobility who cannot move independently is passive range of motion. Passive range of motion exercises help maintain joint flexibility, prevent contractures, and improve circulation in immobile clients. Choice B, pillows for positioning, may provide comfort but does not address the need for joint movement. Choice C, active range of motion, requires the client's active participation, which is not feasible for someone with limited mobility. Choice D, continuous passive motion, is more commonly used in rehabilitation settings for specific joints and is not typically the primary intervention for overall limited mobility.

4. What complication of wound healing is an abnormal passage that connects two body cavities or a cavity and the skin?

Correct answer: A

Rationale:

5. What may be a cause of conductive hearing loss?

Correct answer: D

Rationale: Otitis media can cause conductive hearing loss by affecting the middle ear.

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