Ati Nursing Care Of Children Proctored Exam

ATI NURSING CARE OF CHILDREN PROCTORED EXAM1. The nurse is updating the plan of care for a patient with impaired skin integrity. Which findings indicate achievement of goals and outcomes? ( Select all that apply .)a. The patients expectations are not being met.b. Skin is intact with no redness or swelling.c. Nonblanchable erythema is absent.d. No injuries to the skin and tissues are evident.e. Granulation tissue is present.ANS: B, C, D, EOptimal outcomes are to prevent injury to skin and tissues, reduce injury to skin, reduce injury to underlying tissues, and restore skin integrity. Skin intact, nonblanchable erythema absent, no injuries, and presence ofgranulation tissue are all findings indicating achievement of goals and outcomes. The patients expectations not being met indicates no progression toward goals/outcomes.MATCHINGThe nurse is caring for patients who need wound dressings. Match the type of dressing the nurse applies to its description.a. Absorbs drainage through the use of exudate absorbers in the dressingb. Very soothing to the patient and do not adhere to the wound bedc. Barrier to external fluids/bacteria but allows wound to breathed. Manufactured from seaweed and comes in sheet and rope forme. Oldest and most common absorbent dressing1. Gauze12. Transparent3. Hydrocolloid4. Hydrogel5. Calcium alginate