the nurse will be using the braden scale with each admit to the long term care center which of these will not be utilized in a braden scale assessment
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse will be using the Braden Scale with each admit to the long-term care center. Which of these will NOT be utilized in a Braden Scale Assessment?

Correct answer: A

Rationale:

2. Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?

Correct answer: C

Rationale:

3. The nurse suspects a 3-year-old who is coughing vigorously has aspirated a small object. Which action should the nurse take?

Correct answer: D

Rationale:

4. What is a symptom of the expected disease pattern of rheumatoid arthritis?

Correct answer: B

Rationale:

5. A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client?

Correct answer: C

Rationale: Proper hand hygiene is crucial in preventing infections such as osteomyelitis in clients with open fractures. Keeping the hands clean helps reduce the risk of introducing harmful pathogens to the wound site. Delegating all client personal care to specific unlicensed assistive personnel (Choice A) is not appropriate as direct involvement in wound care is essential in preventing infections. Placing the client in contact precautions (Choice B) is not directly related to preventing osteomyelitis in this context. Administering pain medication (Choice D) is important for managing the client's pain but does not directly address the prevention of osteomyelitis.

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