a client has sustained an open fracture how can the nurse best prevent osteomyelitis in this client

ATI RN

Multi Dimensional Care | Exam | Rasmusson

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

A. Administer pain medication
B. Use proper hand hygiene and strict infection control
C. Delegate all client personal care to specific unlicensed assistive personnel
D. Plate the client in contact precautions

Correct answer: B

Rationale:

2. A client states that he has been experiencing oozing from his wounds. What is the nurse's priority action?

A. Insert the wound and assess the drainage
B. Apply topical ointment to the wound
C. Call the provider to initiate antibiotics
D. Culture the wound

Correct answer: D

Rationale:

3. A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?

A. Once retinal detachment occurs, it does not return to its normal state
B. Once the tissue has necrosed from high-pressure, it does not regenerate
C. Glaucoma always leads to permanent blindness
D. Once bacterial infection has caused damage, the tissue does not regenerate

Correct answer: B

Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.

4. How many mg is 5000 mcg? (Type answer as numeric only)

A. 5
B. 6
C. 4
D. 3

Correct answer: A

Rationale: 5000 mcg is equal to 5 mg.

5. What is a negative effect of immobility on the cardiovascular system?

A. Increased high density lipoprotein
B. Increased circulation
C. Increased pumping action of the heart
D. Venous stasis

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system. Immobility can lead to blood pooling in the veins due to lack of movement, increasing the risk of blood clots. Choices A, B, and C are incorrect because immobility does not lead to an increase in high density lipoprotein, circulation, or the pumping action of the heart.