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

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?

Correct answer: C

Rationale:

2. What is the best nursing intervention for a client with limited mobility who cannot move independently?

Correct answer: A

Rationale: The best nursing intervention for a client with limited mobility who cannot move independently is passive range of motion. Passive range of motion exercises help maintain joint flexibility, prevent contractures, and improve circulation in immobile clients. Choice B, pillows for positioning, may provide comfort but does not address the need for joint movement. Choice C, active range of motion, requires the client's active participation, which is not feasible for someone with limited mobility. Choice D, continuous passive motion, is more commonly used in rehabilitation settings for specific joints and is not typically the primary intervention for overall limited mobility.

3. A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process?

Correct answer: A

Rationale:

4. 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.

5. The client complains of fatigue and joint pain and reports that they are unable to walk due to pain in the knees. What is the most appropriate statement by the nurse?

Correct answer: C

Rationale:

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