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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. A urine specific gravity of 1.015 is within the normal range, so it is not indicative of dehydration.

B. Cloudy urine may indicate infection but is not a hallmark sign of dehydration.

C. A urine osmolality of 200 mOsm/kg is low and more consistent with overhydration rather than dehydration.

D. Dark-colored urine is a common sign of dehydration, as concentrated urine results from reduced fluid intake.

A. A 40-year-old female with major depressive disorder B. A 21-year-old female with three final examinations on the same day C. A 5-year-old child who ignores the urge to defecate owing to embarrassment D. An 80-year-old male in an assisted-living environment

Correct Answer is B

Explanation

A. Major depressive disorder can affect bowel habits, but it is more commonly associated with constipation rather than diarrhea.

B. Stress, such as that experienced by the 21-year-old female with multiple final exams, can lead to gastrointestinal symptoms like diarrhea due to the effect of stress hormones on the digestive system.

C. Ignoring the urge to defecate typically leads to constipation rather than diarrhea.

D. Older adults are at risk for constipation due to reduced intestinal motility rather than diarrhea, unless they are taking medications that can cause diarrhea.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

Which patient is most at risk for diarrhea?

Correct Answer is B

Explanation

A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?

A nurse is teaching a client about foods and beverages that can cause diarrhea. Which of the following should the nurse include in the teaching?

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

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

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

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)

A nurse is implementing a bowel training program for a client. For the program to be effective, the nurse should take the client to the toilet at which of the following times?