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ATI Mobility & Tissue Integrity Quiz exam questions with answers; Tissue Integrity/correct graded A+

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ATI Mobility & Tissue Integrity Quiz exam questions with answers; Tissue Integrity/correct graded A+ A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching? - correct answers-Maintain a recommended body weight. A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? - correct answers-Smokes 1 pack of cigarettes per day. A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis? - correct answers-Thyroid hormones A nurse is providing nutritional teaching to a client who has osteoporosis. Which of the following foods should the nurse recommend as being the highest in calcium? - correct answers-3 oz canned salmon A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiberglass cast. Which of the following instructions should the nurse include in the teaching? - correct answers-Report any worsening to unrelieved pain. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is most common reaction? - correct answers-Body image changes A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis? - correct answers-Raloxifene A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching? - correct answers-Buck's extension traction will relieve muscle spasms. A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? - correct answers-Jaw pain, blurred vision, dysphagia A nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect? - correct answers-Muscle spasms A nurse is assessing a client who has a cast in place for a fractured tibia. Which of the following actions should the nurse take fir Tissue Integrity Tissue Integrity - correct answers-The ability of body tissues to regenerate and/or repair to maintain normal physiological processes. Secondary prevention: ABCDEF (for detecting early signs of melanoma.) - correct answers-A- Asymmetry. The shape of one half does not match the shape of the other half. B- Border. A border that is irregular: the edges are often ragged, notched, or blurred in outline. C- Color. The color is uneven: shades of black, brown, and tan may be present. Areas of white, gray, red, pink, or blue mat also be seen. D- Diameter. There is a change in size, usually an increase. Melanomas can be tiny, but most are larger than the size of a pea. E- Evolving. The mole has changed over the past few weeks or months. What are the three types of wound healing processes? - correct answers-1. Primary intention. 2. Secondary intention. 3. Tertiary intention. Primary intention - correct answers--This process has the most rapid healing. Wound margins are well approximated. (Edges meet/are together.) Examples include laceration and surgical incision. *Characteristics: -Little or no tissue loss. -Edges approximated, as with a surgical incision. *Wound type: › Heals rapidly. › Low risk of infection. › No or minimal scarring. Secondary intention - correct answers--A longer period of time is needed to heal. Wound margins are not well approximated. Larger wound area requires the formation of granulation tissue to fill the gap. *Characteristics: -Loss of tissue. -Wound edges widely separated. (pressure ulcers, open burn areas) *Wound type: › Longer healing time. › Increase for risk of infection. › Scarring. Tertiary intention - correct answers--Wound healing is delayed and occurs when the wound that was previously open is now closed. This process is usually associated with large infected and contaminated wounds. (Usually involves re-opening of the wound to clean out infection.) *Characteristics: -Widely separated. -Deep. -Spontaneous opening of a previously closed wound. -Risk of infection. *Wound type: › Extensive drainage and tissue debris. › Closed later. › Long healing time. Pinching A fold of skin and observing how quickly it returns to its normal position asesses what? - correct answers-Hydration status If caring for a patient with potential skin breakdown what are some components that would be included in the skin assessment? - correct answers--Blanching. -Hyperemia. -Temperature of the skin. -Induration. Phases of wound healing: Maturation phase - correct answers-May last for months or even years. Collagen fiber is remodeled; scar formation and contraction occur. Phases of wound healing: Inflammatory phase - correct answers-Lasts 3-5 days and occurs at the beginning of the healing process. Hemostasis develops; macrophages remove debris. Phases of wound healing: Granulation phase - correct answers-Lasts 5 to 21 days. Results in new vessels and collagen structures being formed. The nurse is caring for a patient who has experienced a laparoscopic appendectomy. The nurse recalls that this type of wound heals by - correct answers-Primary intention The nurse knows that the interrelated concepts to tissue integrity are - correct answers--Perfusion. -gas exchange. - nutrition. -mobility. -sensory perception. -elimination. -pain. -fluid and electrolyte balance. -thermoregulation. -infection. Keloid - correct answers-Abnormal growth of scar tissue that is elevated, rounded, and firm with irregular, claw like margins. Wound - correct answers-Disruption in the integrity of body tissue. Eschar - correct answers-Dry, dark (sometimes black) leathery scab composed of denatured protein. Shearing - correct answers-Force exerted against the skin by movement or repositioning. Cyanosis - correct answers-Bluish discoloration of the skin and mucous membrane. Antecedents definition - correct answers-What precedes the concept for it to exist. Events or incidents that must happen before the concept. Attributes definition - correct answers-Defining characteristics of the concept. What property, quality, or data must be present for the concept to exist. Partial thickness injury - correct answers-Superficial. Injury of the epidermis. Full thickness injury - correct answers-Injury of the dermis and deeper tissues. Epithelium - correct answers-Tissue that lines cavities and structure surfaces throughout the body. Debridement - correct answers-Removal of dead, damaged, or infected tissue. (So blood flow will resume and allow repair of tissues.) Granulation - correct answers-Connective tissue that forms on the surface of a healing wound. Turgor - correct answers-Elastic state of skin and tissue. Emollient - correct answers-Agents that soften skin or treat dry skin. What are the 6 categories of impaired tissue integrity? - correct answers-1. Trauma or injury. 2. Loss of perfusion. 3. Immunologic reaction. 4. Infections and infestations. 5. Thermal or radiation injury. 6. Lesions. Skin functions - correct answers-1.Protection. 2. absorption. 3. secretion. tion. What wound healing process would a decubitus ulcer heal by? - correct answers-Secondary intention Hemostasis - correct answers-The stoppa

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ati mobility tissue integrity quiz exam question

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ATI Mobility & Tissue Integrity Quiz exa
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