a client who is sitting in high fowlers position is at risk for what type of injury as the skin layers shift in opposite directions

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. 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?

A. Traumatic injury
B. Pressure injury
C. Friction injury
D. Shearing injury

Correct answer: D

Rationale:

2. What is an example of proper body mechanics when lifting?

A. Lifting the object with your back
B. Standing with a narrow stance
C. Lifting excessive weight to strengthen the muscles
D. Holding the object close to the body

Correct answer: D

Rationale: Proper body mechanics include holding objects close to the body to prevent injury.

3. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?

A. The client sets the cap down in a manner that does not contaminate it.
B. The client drops the prescribed number of drops into the conjunctival sac
C. The client washes their hands before instilling the drops
D. The client ensures that they touch the administration dropper to the eye

Correct answer: D

Rationale: Touching the dropper to the eye contaminates it and can lead to infection.

4. A client with chronic osteomyelitis is being discharged from the hospital. What is the nurse’s priority discharge intervention?

A. Teaching adherence to an exercise program
B. Teaching about a healthy dietary intake
C. Teaching adherence to the antibiotic regimen
D. Scheduling daily dressing changes

Correct answer: C

Rationale: The correct answer is C: Teaching adherence to the antibiotic regimen. In chronic osteomyelitis, the priority is to ensure proper treatment of the infection, which heavily relies on consistent adherence to the prescribed antibiotic regimen. This helps in eradicating the infectious organisms and preventing recurrence. Choices A, B, and D are important aspects of care but teaching adherence to the antibiotic regimen takes precedence as it directly impacts the successful management of chronic osteomyelitis.