a client with systemic sclerosis has been in bed for 2 weeks due to fatigue and abdominal pain today the client came into the clinic complaining of he
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and abdominal pain. Today, the client came into the clinic complaining of her leg being hot, red and painful. What does the nurse suspect?

Correct answer: B

Rationale:

2. The client is at risk for impaired skin integrity related to the need for several weeks of bedrest. The nurse evaluates the client after 1 week and finds skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action?

Correct answer: D

Rationale:

3. A nurse is admitting a client who has tuberculosis. What transmission-based precautions should the nurse initiate?

Correct answer: C

Rationale:

4. A nurse assesses an area of skin over a bony prominence. What finding would be most concerning?

Correct answer: A

Rationale:

5. What is the term for a ringing in the ears reported by the client?

Correct answer: D

Rationale: Tinnitus is the correct answer. Tinnitus refers to the perception of noise or ringing in the ears. This condition can be constant or intermittent and may be caused by various factors such as exposure to loud noises, ear infections, or underlying health conditions. Choices A, B, and C are incorrect as Weber and Rinne tests are related to hearing assessment, while the pinna is the external part of the ear responsible for collecting sound waves.

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