the client is at risk for impaired skin integrity related to the need for several weeks of bedrest the nurse evaluates the client after 1 week and fin

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The client is at risk for impaired skin integrity related to the need for several weeks of bedrest. The nurse evaluates the client after 1 week and finds skin integrity is not impaired. In evaluating the plan of care, what is the nurse's best action?

A. Remove the nursing diagnosis in the plan of care since it has not occurred
B. Change the nursing diagnosis in plan of care to impaired mobility
C. Modify the nursing diagnosis in plan of care to impaired skin integrity
D. Keep the nursing diagnosis in the plan of care the same since the risk factors are still present

Correct answer: D

Rationale:

2. Convert 30 ml to ounces. (Type the answer as numeric only)

A. 1
B. 2
C. 3
D. 4

Correct answer: A

Rationale: 30 ml is equivalent to 1 ounce.

3. Which practice is recommended to prevent human immune deficiency virus (HIV) transmission by health care workers?

A. Wearing a mask within three feet of the client
B. Using standard precautions
C. Applying hand sanitizer to gloves during cares
D. Double gloving

Correct answer: B

Rationale:

4. Which test is used in the diagnosis of osteoporosis?

A. Phalen's maneuver
B. Dual-energy X-ray absorptiometry (DXA) scan
C. Proprioception
D. Blood culture

Correct answer: B

Rationale: The correct answer is B, Dual-energy X-ray absorptiometry (DXA) scan, which is commonly used to diagnose osteoporosis by measuring bone mineral density. Phalen's maneuver (choice A) is a test used to assess for carpal tunnel syndrome and is not related to osteoporosis. Proprioception (choice C) refers to the sense of body position and is not a diagnostic test for osteoporosis. Blood culture (choice D) is used to detect infections caused by bacteria in the bloodstream and is not relevant to the diagnosis of osteoporosis.