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. The nurse is caring for a client with rheumatoid arthritis one day after shoulder surgery. What would prompt the nurse to call the provider immediately?

Correct answer: D

Rationale: In a client with rheumatoid arthritis one day after shoulder surgery, paresthesia in the fingers and intense increasing pain in the shoulder could indicate nerve compression or damage, which are serious post-operative complications. This situation requires immediate attention from the provider to prevent further complications and ensure appropriate management. The other options, such as refusing pain medication, reporting a minor headache, or experiencing minor abdominal discomfort, are important but not as urgent or indicative of potential serious complications as paresthesia in the fingers and intense increasing pain in the shoulder.

3. 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.

4. What is the most common method of reducing and immobilizing a fracture?

Correct answer: D

Rationale: Open reduction with internal fixation (ORIF) is the most common method for reducing and immobilizing fractures.

5. A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur?

Correct answer: B

Rationale:

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