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Tissue Integrity ATI/latest exam questions with correct answers correct and verified 100%

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Tissue Integrity ATI/latest exam questions with correct answers correct and verified 100%Tissue Integrity ATI/latest exam questions with correct answers correct and verified 100% A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin breakdown. Which of the following instructions by the nurse is related to preventing skin breakdown? - correct answers-You should shift your weight off your buttocks at intervals throughout the day Rationale: this action will increase circulation to the tissues and prevent skin breakdown. A wound, ostomy and continence nurse (WOCN) is providing an in service to a group of nurses about documentation of pressure injuries. Which of the following statements by one of the group members indicates an understanding of the teaching? - correct answers-Pressure injury documentation includes location, stage, measurements and condition of the wound bed and any drainage present A nurse is caring for a client who has sustained a gunshot wound to the abdomen and is 6 hr postoperative. The nurse notices protrusion of the client's organs from the incision site and call for help. Which of the following actions should the nurse take? - correct answers-Cover the client's wound with a sterile saline dressing This prevents dressing from adhering to the tissue and protect the organs until the client is taken back to surgery. A nurse is teaching assistive personnel (AP) about the skin of older adults. Which of the following statements by the AP indicates an understanding of the teaching? - correct answers-The skin of older adults is thinner and has less subcutaneous padding over bony prominences Rationale: decrease in elasticit

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