a client is bedridden and appears to be frail and malnourished which nursing interventions will increase the risk of pressure injury
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is bedridden and appears to be frail and malnourished. Which nursing interventions will increase the risk of pressure injury?

Correct answer: B

Rationale:

2. What is the condition called when the client's pupils are different sizes and have been this way since childhood?

Correct answer: B

Rationale: Anisocoria is the correct answer. Anisocoria is the condition of having pupils of different sizes. Exophthalmos refers to abnormal protrusion of the eyeball, not pupil size difference. Strabismus is a condition where the eyes are not properly aligned with each other. Scleral edema is swelling of the sclera, the white part of the eye, and not related to differing pupil sizes.

3. Where will the nurse collect the most reliable source of pain assessment?

Correct answer: C

Rationale:

4. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?

Correct answer: C

Rationale:

5. Which of the following assessments is found in neurovascular compromise?

Correct answer: A

Rationale: Tingling is a common sign of neurovascular compromise.

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