Nur2392 Multidimensional Care I / Mdc 1 Exam 3 -Final (Questions And Answers_latest)

11. Question 1A client is bedridden and appears to be frail and malnourished. Which nursing interventions will decrease the risk of pressure injury? (Select all that apply.)1.Cleansing the skin routinely after soiling occurs.2.Applying moisturizer to dry areas of skin.3.Using a Hoyer lift for all transfers.4.Massaging the client's reddened shoulders and heels.5.Reposition client once per shift.2. Question 2A client arrives speaking only Spanish. What is the priority nursing intervention?1.Call the chaplain for support2.Verify the reason for admission23.Request a medical interpreter4.Give the client a tour of the unit3. Question 3What are the causes of a pressure ulcer? (Select all that apply.)1.Ischemia2.Immobility3.Poor nutrition4.Moisture5.Adequate perfusion4. Question 4A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client which of the following beverages can trigger an attack?31.Alcohol2.Fruit juice3.Milk4.Coffee5. Question 5A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?1.Serous2.Purulent3.Serosanguineous4.4Sanguineous6. Question 6A client recently had an above-the-knee amputation and complains of pain distal to the amputation. What type of pain is the client experiencing?1.Nociceptive2.Neuropathic3.Cutaneous4.Visceral7. Question 7What is the nurse's priority action for a client with compromised immunity?1.Determine whether it is temporary or permanent2.Take the client's vital signs every four hours3.5Teach the