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 statemen
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. 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:

2. A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client?

Correct answer: C

Rationale: Proper hand hygiene is crucial in preventing infections such as osteomyelitis in clients with open fractures. Keeping the hands clean helps reduce the risk of introducing harmful pathogens to the wound site. Delegating all client personal care to specific unlicensed assistive personnel (Choice A) is not appropriate as direct involvement in wound care is essential in preventing infections. Placing the client in contact precautions (Choice B) is not directly related to preventing osteomyelitis in this context. Administering pain medication (Choice D) is important for managing the client's pain but does not directly address the prevention of osteomyelitis.

3. What may be a cause of conductive hearing loss?

Correct answer: D

Rationale: Otitis media can cause conductive hearing loss by affecting the middle ear.

4. What should the nurse do first if they are stuck by a needle?

Correct answer: B

Rationale:

5. A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound?

Correct answer: D

Rationale:

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