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. What may be a cause of conductive hearing loss?

Correct answer: D

Rationale: Otitis media can cause conductive hearing loss by affecting the middle ear.

3. A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound?

Correct answer: D

Rationale:

4. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

Correct answer: C

Rationale:

5. A client has a new arm cast. What is incorrect teaching by the nurse?

Correct answer: D

Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.

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