a wound has a blood tinged liquid that is dripping from the surgical site how does the nurse document this finding

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

A. Creamy pus
B. Serous
C. Serosanguineous
D. Purulent exudate

Correct answer: C

Rationale:

2. What repetitive stress injury is a factory worker at risk of?

A. Plantar fasciitis
B. Osteomalacia
C. Carpal tunnel syndrome
D. Osteoporosis

Correct answer: C

Rationale: Factory workers are at risk of developing Carpal Tunnel Syndrome due to repetitive hand movements involved in their work. This condition occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. Plantar fasciitis (choice A) is a condition affecting the foot, not typically associated with factory work. Osteomalacia (choice B) is a softening of the bones due to a lack of vitamin D or calcium, not directly related to repetitive stress in factory work. Osteoporosis (choice D) is a condition characterized by weak and brittle bones, usually associated with aging or hormonal changes rather than repetitive stress injuries.

3. The client has been asked to perform weight-bearing exercises three times a week. The client admits to not doing the recommended exercises. What is the most appropriate response by the nurse?

A. I walk 3 miles every day. Would you like to join me?
B. Tell me more about your experience with these exercises.
C. My dad never exercised. He fell and broke his hip. Is that your goal?
D. You should be doing these exercises.

Correct answer: B

Rationale: The most appropriate response by the nurse is to ask the client to elaborate on their experience with the exercises. By doing so, the nurse can gain insight into any barriers the client may be facing and work together to find solutions to improve adherence. Choice A is not appropriate as it doesn't address the client's situation. Choice C is not relevant and may induce fear in the client. Choice D is directive and does not promote open communication or understanding of the client's perspective.