a client has an open wound with creamy thick yellow drainage how would the nurse document this finding
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

Correct answer: A

Rationale:

2. 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.

3. A nurse working in an orthopedic unit is caring for 4 clients. Which of the following clients should the nurse identify as being at highest risk for skin breakdown?

Correct answer: D

Rationale:

4. A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in this client?

Correct answer: B

Rationale:

5. A client has a new arm cast. What is incorrect teaching by the nurse?

Correct answer: D

Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.

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