the nurse assesses a deep wound the area is covered by black and necrotic tissue what term would the nurse use when documenting this wound
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?

Correct answer: B

Rationale:

2. Unlicensed assistive personnel (UAP) is assisting a client in traction. Which of these actions requires immediate intervention?

Correct answer: A

Rationale: The correct answer is A because traction weights should hang freely to maintain their effectiveness. Choice B is incorrect because providing pillows to cushion unaffected extremities is appropriate. Choice C is also incorrect as emptying the catheter bag is a routine nursing task. Choice D is incorrect as teaching the client to use the call light promotes client safety.

3. A nurse is teaching a newly hired group of unlicensed assistive personnel about infection-control measures on the unit. What is the most effective way to prevent the spread of pathogens during client care?

Correct answer: B

Rationale:

4. What is the nurse's priority action for a client with compromised immunity?

Correct answer: A

Rationale:

5. When providing a routine bed bath, what action does the nurse complete first?

Correct answer: D

Rationale:

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