the nurse has documented the following wound assessment shallow open reddened ulcer with no slough on the anterior region of the right heel what stage
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse has documented the following wound assessment. "Shallow, open, reddened ulcer with no slough on the anterior region of the right heel?"? what stage is the wound?

Correct answer: D

Rationale:

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

Correct answer: A

Rationale: 30 ml is equivalent to 1 ounce.

3. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?

Correct answer: D

Rationale: Touching the dropper to the eye contaminates it and can lead to infection.

4. What is the best intervention to reduce the risk of falling in the hospital room for a blind client being cared for?

Correct answer: D

Rationale: The best intervention to reduce the risk of falling in the hospital room for a blind client is to orient the client to the location of objects in the room. This helps the client navigate safely and independently. Choices A, B, and C are incorrect because telling the client's family to stay overnight, applying restraints, and shouting are not appropriate interventions for preventing falls in a blind client; in fact, they could potentially lead to increased anxiety and risk of falls.

5. Which of the following clients should be placed in isolation for airborne precautions?

Correct answer: B

Rationale:

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