the nurses assess the clients pain prior to completing a dressing change the client says his current pain is 510 but he has pain of 1010 when his dres
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurses assess the client's pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?

Correct answer: C

Rationale:

2. A client who is sitting in High-Fowler's position is at risk for what type of injury as the skin layers shift in opposite directions?

Correct answer: D

Rationale:

3. 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.

4. A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur?

Correct answer: B

Rationale:

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

Correct answer: D

Rationale:

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