a nurse is caring for an intubated and sedated geriatric client what intervention is most appropriate for reducing the risk for a friction and shear i
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A nurse is caring for an intubated and sedated geriatric client. What intervention is most appropriate for reducing the risk for a friction and shear injury?

Correct answer: A

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 on bed rest complains of pain and burning in the right calf area. What is the nurse's action?

Correct answer: D

Rationale:

4. A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in this client?

Correct answer: B

Rationale:

5. What soft tissue musculoskeletal injury is excessive stretching of a ligament?

Correct answer: A

Rationale: A sprain is an injury involving excessive stretching of a ligament.

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