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?
Increased collagen
Increased muscle mass
Decreased serum calcium
Decreased circulation
The Correct Answer is D
A. Increased collagen is not a direct risk factor for pressure injuries. Collagen plays a role in wound healing but does not increase the risk of developing pressure ulcers.
B. Increased muscle mass does not increase the risk for pressure injuries. In fact, more muscle mass can help protect against pressure ulcers by distributing weight and pressure more evenly.
C. Decreased serum calcium can contribute to weakened bones and muscle function, but it is not a primary factor in the development of pressure injuries.
D. Decreased circulation is a major risk factor for pressure injuries. Impaired mobility often leads to prolonged pressure on certain areas of the body, reducing blood flow to those areas. This lack of circulation can cause tissue ischemia, leading to pressure injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Postoperative cognitive dysfunction refers to a long-term decline in cognitive function after surgery, often seen in older adults, but it is not characterized by temporary disorientation. Delirium, on the other hand, is temporary and can present as disorientation shortly after surgery.
B. Dementia is a chronic condition marked by long-term cognitive decline, not a temporary state. Dementia typically develops over time, unlike the acute onset of disorientation seen in postoperative delirium.
C. Alzheimer’s disease is a progressive neurodegenerative disease leading to cognitive decline, which occurs gradually over time. Temporary disorientation immediately after surgery is not a symptom of Alzheimer's.
D. Postoperative delirium is an acute, often reversible, confusion or disorientation that typically occurs after surgery, particularly in older adults. It can be triggered by anesthesia, medications, or other factors and is characterized by temporary cognitive disturbances such as disorientation.
Correct Answer is A
Explanation
A. Using the side of the fingertip is the correct puncture site for blood glucose testing. The sides are less sensitive and have fewer nerve endings, making the process less painful.
B. Using the ball of the finger is not ideal for blood glucose monitoring because it is more sensitive and may cause more discomfort.
C. Avoiding the use of thumbs is advised because the thumb may have higher pressure and greater sensitivity. However, avoiding it entirely is not as crucial as using the side of the fingertip for less pain and more accurate results.
D. It is not necessary to avoid using the fingers of the dominant hand, though some individuals may choose to use their non-dominant hand to minimize discomfort or repetitive use. However, the key is to use the side of the fingertip.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.