Tissue Integrity ATI Questions and Answers Already Passed

Tissue Integrity ATI Questions and Answers Already Passed 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? You should shift your weight off your buttocks at intervals throughout the day 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? 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? Cover the client's wound with a sterile saline dressing 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? The skin of older adults is thinner and has less subcutaneous padding over bony prominences A nurse is preparing to obtain a wound culture from a client who has a suspected wound infection. Which of the following actions should the nurse take? Clean the wound with 0.9% sodium chloride A nurse is assisting with the care of a client following abdominal surgery. The nurse removes the client's surgical dressing and notes a separation of the wound edges. The nurse should identify that the client is experiencing which of the following complications? Dehiscence A nurse is providing teaching to a client about staple removal. Which of the following statements should the nurse include in the teaching? Your staples will be removed in about 2 weeks A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having the highest risk for developing alterations in tissue integrity? A client who is incontinent and taking a prescribed diuretic A nurse is caring for a client who has dime-sized stage 1 pressures injury located on the sacrum. Which of the following dressing types should the nurse use? A transparent film A nurse is providing teaching to a newly licensed nurse about the functions of the skin. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching The skin assists in the regulation of body temperature