what is not a potential complication of ra
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. What is not a potential complication of RA?

Correct answer: A

Rationale:

2. A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?

Correct answer: A

Rationale:

3. A client sustains an injury to his heel while the unlicensed assistive personnel and the nurse are moving him up in bed. What force caused the injury?

Correct answer: A

Rationale:

4. What is the priority nursing diagnosis for a client with immobility?

Correct answer: C

Rationale: The correct priority nursing diagnosis for a client with immobility is 'Risk for impaired skin integrity as evidenced by pressure over bony prominences.' Immobility predisposes the client to the development of pressure ulcers due to prolonged pressure on bony areas. Monitoring and preventing impaired skin integrity is crucial to prevent complications. Choices A, B, and D are not the priority in this case. Constipation, ineffective breathing pattern, and disuse syndrome are important but secondary to the immediate risk of skin breakdown associated with immobility.

5. A client who is sitting in High-Fowler's position is at risk for what type of injury as the skin layers shift in opposite directions?

Correct answer: D

Rationale:

Similar Questions

The client with RA complains of intensely dry eyes. What does the nurse suspect?
The following client come to the ophthalmology clinic. Which client needs to be seen first?
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?
A client who had an elective below-the-knee amputation reports pain in the foot that was amputated. What is the best response by the nurse?
When providing a routine bed bath, what action does the nurse complete first?

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