which among the following is not the cause of pressure ulcers

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Which among the following is NOT the cause of pressure ulcers?

A. Immobility
B. Poor nutrition
C. Moisture
D. Adequate perfusion

Correct answer: D

Rationale:

2. 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. Scabies
B. Rosacea
C. Psoriasis
D. Statis dermatitis

Correct answer: C

Rationale:

3. The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks how this can happen. What is the best response by the nurse?

A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
B. "An injured artery causes impaired arterial perfusion through the compartment."?
C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
D. . "A bone fragment has injured the nerve supply in the area."?

Correct answer: C

Rationale:

4. The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education?

A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs (NSAIDS)are liver failure and tinnitus
B. The main side effect of acetaminophen is gastrointestinal GI bleeding
C. You should not take more than 4000 mg of acetaminophen a day
D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have no side effects

Correct answer: A

Rationale:

5. Why is traction used?

A. It allows the bones to realign
B. It decreases the risk of misalignment
C. It promotes wound healing
D. It allows the client to rest longer

Correct answer: A

Rationale: Traction is used to help align the bones properly during the healing process. Choice A is correct because traction assists in allowing the bones to realign correctly, promoting proper healing. Choice B is incorrect as traction does not decrease the risk of misalignment; instead, it helps reduce misalignment by aiding in bone alignment. Choice C is incorrect because while traction indirectly supports wound healing by ensuring proper bone alignment, its primary purpose is not wound healing. Choice D is incorrect as the primary purpose of traction is not to allow the client to rest longer, but rather to aid in bone alignment for optimal healing.