The staff nurses have just received an inservice presentation about pressure Injury risk reduction in their clients. Which points should have been Included? (SELECT ALL THAT APPLY) Assess client's:

usual nutritional intake.

degree of physical activity.

skin exposure to moisture.

food and drug allergies.

ability to respond to pressure-related discomfort.

Answer and Explanation

Correct Answer : A,B,C,E

A. Assessing usual nutritional intake helps identify potential risk factors for poor wound healing and pressure injury development.

B. Assessing the degree of physical activity helps determine the client's mobility level and risk for pressure injuries.

C. Assessing skin exposure to moisture helps identify potential areas of skin breakdown and pressure injury development.

D. While important, assessing food and drug allergies is not directly related to pressure injury risk reduction.

E. Assessing the client's ability to respond to pressure-related discomfort helps identify clients who may be at increased risk for pressure injuries due to decreased mobility or sensory deficits.

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Correct Answer is B

Explanation

A. Acetaminophen is available in immediate-release formulations and can typically be crushed and mixed with food or liquid.

B. Diltiazem SR (sustained-release) formulations are designed for gradual release over time and should not be crushed, as this may alter the intended pharmacokinetics.

C. Loperamide is available in immediate-release formulations and can typically be crushed and mixed with food or liquid.

D. Methyldopa is available in immediate-release formulations and can typically be crushed and mixed with food or liquid.

A. highest effective drug concentration in the blood is reached. B. medication becomes toxic. C. blood serum drug concentration is lowest D. medication concentration is half of what it was when administered.

Correct Answer is C

Explanation

A. The highest effective drug concentration in the blood is associated with peak levels, not trough levels.

B. The point at which medication becomes toxic is associated with peak levels, not trough levels.

C. The trough level is associated with the lowest blood serum drug concentration, just before the next dose is administered.

D. The point at which the medication concentration is half of what it was when administered is associated with the half-life of the drug, not trough levels.

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The staff nurses have just received an inservice presentation about pressure Injury risk reduction in their clients. Which points should have been Included? (SELECT ALL THAT APPLY) Assess client's:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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