a goal for a client with impaired mobility is to prevent skin breakdown what nursing intervention would best help the client meet this goal
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?

Correct answer: D

Rationale:

2. What complication of fractures is caused by increased pressure which can result in decreased circulation to the area?

Correct answer: B

Rationale: Acute compartment syndrome is the correct answer. It involves increased pressure within muscles, leading to decreased blood flow and tissue damage. Venous thromboembolism (Choice A) is a condition where a blood clot forms in a vein, usually in the leg. Fat embolism syndrome (Choice C) occurs when fat globules enter the bloodstream and block blood vessels. Hemorrhage (Choice D) refers to bleeding, which can occur with fractures but does not specifically involve increased pressure leading to decreased circulation as in acute compartment syndrome.

3. A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process?

Correct answer: A

Rationale:

4. Which nonpharmacological intervention does not help reduce edema?

Correct answer: A

Rationale: The correct answer is A: Heat therapy. Heat therapy can vasodilate blood vessels, increasing blood flow to the area and potentially exacerbating edema. Passive range of motion (PROM), elevation of the extremity, and cold therapy are all beneficial interventions for reducing edema. PROM helps with circulation, elevation assists in reducing fluid accumulation, and cold therapy can help constrict blood vessels and decrease swelling.

5. A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

Correct answer: A

Rationale:

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