during a skin inspection at the outpatient clinic the nurse notices patches of thick red skin with silvery scales on the clients elbows and knees what
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. During a skin inspection at the outpatient clinic, the nurse notices patches of thick, red skin with silvery scales on the client's elbows and knees. What skin abnormality does the nurse suspect?

Correct answer: C

Rationale:

2. The nurse is preparing communication for a provider. The client is experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a 'pins and needles' sensation. The pulse is weak and thready but is bounding on all unaffected extremities. What emergent condition does the nurse suspect?

Correct answer: B

Rationale:

3. What is the priority nursing diagnosis for a client with metastatic bone disease?

Correct answer: C

Rationale: The correct answer is 'Risk for falls.' In clients with metastatic bone disease, weakened bones can lead to an increased risk of falls, making it a priority nursing diagnosis. Chronic pain (choice A) may be present but addressing the risk for falls is more critical in this situation. While impaired mobility (choice B) can be a consequence of metastatic bone disease, preventing falls takes precedence. Risk for infection (choice D) is not the priority in this case, as falls pose a more immediate threat to the client's safety.

4. What steps are NOT included in preparing a sterile field?

Correct answer: B

Rationale:

5. A client is bedridden and appears to be frail and malnourished. Which nursing interventions will increase the risk of pressure injury?

Correct answer: B

Rationale:

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