The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?

Pressure points

Breath sounds

Pulse points

Bowel sounds

Answer and Explanation

The Correct Answer is A

A. Pressure points are critical to assess when evaluating skin integrity, particularly in patients who are immobile or bedridden, as these areas are at high risk for pressure ulcers.

B. Breath sounds are important but are not the priority in assessing skin integrity.

C. Pulse points assess circulation, but they are not directly related to skin integrity.

D. Bowel sounds are relevant for digestive assessments, not for skin integrity.

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Correct Answer is C

Explanation

Rationale:

A. Drinking plenty of water helps to flush bacteria from the urinary tract, reducing the risk of a UTI.

B. Good personal hygiene reduces the risk of UTIs by preventing bacterial contamination.

C. Urinary catheters provide a direct pathway for bacteria to enter the bladder, increasing the risk of UTIs.

D. Frequent handwashing is a preventive measure but not directly related to the development of UTIs.

A. Tell the patient “close your eyes.” B. Ask the family to leave the room. C. Turn on the television. D. Explain the procedure.

Correct Answer is D

Explanation

A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.

B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.

C. Turning on the television may distract the patient, but it doesn't address their anxiety.

D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.

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The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common risk factor for developing a urinary tract infection (UTI)?

Correct Answer is C

Explanation

The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?

Correct Answer is D

Explanation

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The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?