by providing measures to reduce skin breakdown how does the nurse break the chain of infection

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?

A. Sterilizing the area to reduce the reservoir risk
B. Maintaining the integrity of a portal of entry
C. Creating a reservoir to decrease the risk of infection
D. Creating a susceptible host

Correct answer: B

Rationale:

2. A client is post-operative day 1 and reports a sudden increase in blood-tinged liquid draining from his incision after feeling a popping sensation. What is the nurse's next action?

A. Send the client back to surgery
B. Assess the wound for signs of dehiscence
C. Call the provider immediately
D. Prepare to culture the wound

Correct answer: B

Rationale:

3. What is the term for a ringing in the ears reported by the client?

A. Weber
B. Rinne
C. Pinna
D. Tinnitus

Correct answer: D

Rationale: Tinnitus is the correct answer. Tinnitus refers to the perception of noise or ringing in the ears. This condition can be constant or intermittent and may be caused by various factors such as exposure to loud noises, ear infections, or underlying health conditions. Choices A, B, and C are incorrect as Weber and Rinne tests are related to hearing assessment, while the pinna is the external part of the ear responsible for collecting sound waves.

4. The nurse uses proper body mechanics to move a client up in bed. What action by the nurse will increase their risk of a workplace injury?

A. Place the bed in the lowest possible position
B. Use the legs when lifting
C. Keep feet apart to provide a wide base of support
D. Face the direction of the movement

Correct answer: A

Rationale: Placing the bed in the lowest possible position increases the risk of injury because it does not support proper body mechanics. When lifting a client, it is important to have the bed at a comfortable height to avoid strain. Using the legs when lifting (choice B) is correct as it reduces the strain on the back. Keeping feet apart to provide a wide base of support (choice C) helps with stability and balance. Facing the direction of the movement (choice D) is essential for maintaining proper alignment and reducing the risk of injury.