a post operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement upon inspection the nurse notices
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse tell the physician about the event?

Correct answer: A

Rationale:

2. A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?

Correct answer: A

Rationale:

3. An area of erythema on the child's skin is being assessed by the nurse. The nurse presses down on the area, and the area becomes white. What time does the nurse document for this finding?

Correct answer: B

Rationale:

4. The client with systemic sclerosis (Scleroderma) is experiencing Raynaud's phenomenon. What assessment finding does the nurse anticipate?

Correct answer: D

Rationale:

5. What nursing interventions increase the risk the pressure injuries?

Correct answer: B

Rationale:

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