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
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Nursing Elites

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?

Correct answer: D

Rationale:

2. What does CREST stand for?

Correct answer: D

Rationale:

3. A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse tell the physician about the event?

Correct answer: A

Rationale:

4. What is the priority nursing diagnosis for a client with immobility?

Correct answer: C

Rationale: The correct priority nursing diagnosis for a client with immobility is 'Risk for impaired skin integrity as evidenced by pressure over bony prominences.' Immobility predisposes the client to the development of pressure ulcers due to prolonged pressure on bony areas. Monitoring and preventing impaired skin integrity is crucial to prevent complications. Choices A, B, and D are not the priority in this case. Constipation, ineffective breathing pattern, and disuse syndrome are important but secondary to the immediate risk of skin breakdown associated with immobility.

5. A client recently had an above the knee amputation and complains of pain distal to the amputation. What type of pain is the client experiencing?

Correct answer: A

Rationale:

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