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

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?

A. Assist the client to orthopneic position
B. Offer the client a bedpan for toileting
C. Offer a protein-rich diet
D. Turn the client every 2 hours

Correct answer: D

Rationale:

2. The nurse is preparing to administer medications to a client with osteoarthritis. What is the goal of medication therapy?

A. Eradicate the disease
B. Reduce pain and inflammation
C. Turn on the immune system
D. Manage weight loss

Correct answer: B

Rationale:

3. The client with RA complains of intensely dry eyes. What does the nurse suspect?

A. Systemic sclerosis
B. Sjogren's syndrome
C. Chron's disease
D. Discoid lupus

Correct answer: B

Rationale:

4. What is correct about a nursing diagnosis?

A. It is a human response to disease, injury, or other stressors.
B. It remains constant as long as the disease is present.
C. It is a way to identify pathology.
D. It is a disease, illness, or injury.

Correct answer: A

Rationale: A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems or life processes. Choice A is correct because it identifies nursing diagnosis as related to human responses to health conditions or life processes. Choice B is incorrect because nursing diagnoses can change as the patient's condition changes. Choice C is incorrect because a nursing diagnosis is about responses, not just identifying pathology. Choice D is incorrect because a nursing diagnosis is not the same as a disease, illness, or injury; it is a statement about the patient's response to these conditions.