QLexNursing
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

A nurse is collecting data on a client who has impaired mobility. The nurse should monitor the client for a pressure injury due to which of the following factors?

Answer Choices:

Correct Answer:

Decreased circulation.

Rationale:

🔷 Decreased circulation results in reduced perfusion to the tissues, impairing oxygen and nutrient delivery to skin and subcutaneous layers.

🔷 This leads to ischemia and breakdown, especially over bony prominences where pressure is highest.

🔷 Clients with impaired mobility are unable to reposition themselves effectively, further decreasing circulation to dependent areas.

🔷 Without proper circulation, even minor pressure can lead to ulcer formation within hours.

🔷 Nursing interventions focus on frequent repositioning and assessment of skin integrity to prevent pressure injuries.

Want to practice more questions like this?

This question is from Custom: VNIOO FON EXAM 2 which contains 45 questions.

More Questions from This Exam
A nurse is assisting with the care of a client who is postoperative.

Answer Choices:

A. Client's hearing deficit.
B. Volume of the client's television.
C. Numerous visitors in the client's room.
D. Increase in pain after ambulation.
E. Adverse effects of opioid analgesic.
F. Using earphones while listening to music.
A nurse is assisting with preparing a teaching plan for a client. The nurse should identify that which of the following action is part of the implication step?

Answer Choices:

A. Identify expected outcomes of crutch walking for the client.
B. Review the steps of crutch walking with the client.
C. Ask the client to demonstrate walking with crutches.
D. Determine the client's readiness to learn about walking with crutches.
A nurse is discussing potential barriers to effective communication with a newly licensed nurse. Which of the following barriers should the nurse include?

Answer Choices:

A. Noise from nearby monitoring equipment.
B. Adequate lighting in a client's room.
C. Cultural differences between a client and nurse.
D. Use of medical terminology when speaking to a client.
E. Nurse facing the client when speaking.
F. A client who has dementia with memory loss.
A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at highest risk for developing a pressure injury?

Answer Choices:

A. A client who is unresponsive to verbal commands and changes position occasionally.
B. A client who is receiving enteral feeding and can change position independently.
C. A client who makes frequent slight changes in position and walks occasionally.
D. A client who alert and responsive and eats 25% of each meal.
A nurse is assisting with teaching a client how to check their radial pulse. Which of the following methods uses the psychomotor domain of learning?

Answer Choices:

A. Observe the client checking their radial pulse.
B. Tell the client the expected reference range of their radial pulse.
C. Review the steps for checking a radial pulse with the client.
D. Discuss the purpose of checking the radial pulse with the client.
From Exam
Custom: VNIOO FON EXAM 2

45 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Custom Exam(s)
  • Answer Choices: 4
Q