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. What is the priority nursing diagnosis for a client with metastatic bone disease?

A. Chronic pain
B. Impaired mobility
C. Risk for falls
D. Risk for infection

Correct answer: C

Rationale: The correct answer is 'Risk for falls.' In clients with metastatic bone disease, weakened bones can lead to an increased risk of falls, making it a priority nursing diagnosis. Chronic pain (choice A) may be present but addressing the risk for falls is more critical in this situation. While impaired mobility (choice B) can be a consequence of metastatic bone disease, preventing falls takes precedence. Risk for infection (choice D) is not the priority in this case, as falls pose a more immediate threat to the client's safety.

3. The client states, "Why am I getting protein supplements while I am healing from a bed sore?"? What is the best response by the nurse?

A. Because it is easy to digest.'
B. Protein has amin acid that promotes wound healing.'
C. If you do not like it, you do not have to take it.'
D. These supplements have nothing to do with your wound,'

Correct answer: B

Rationale:

4. What is the term for a ringing in the ears reported by the client?

A. Weber
B. Rinne
C. Pinna
D. Tinnitus

Correct answer: D

Rationale: Tinnitus is the correct answer. Tinnitus refers to the perception of noise or ringing in the ears. This condition can be constant or intermittent and may be caused by various factors such as exposure to loud noises, ear infections, or underlying health conditions. Choices A, B, and C are incorrect as Weber and Rinne tests are related to hearing assessment, while the pinna is the external part of the ear responsible for collecting sound waves.