A 65-year-old client is recovering from surgery and is going to ambulate for the first time in 12 hours. A priority intervention prior to ambulation includes
Obtaining an OT order and arranging for an occupational therapist to visit the home within 24 hours.
Sitting the client up in bed slowly and dangling their feet at the bedside prior to ambulation.
Acquiring a walker for the client and setting up physical therapy sessions prior to discharge.
Asking the client to describe their exercise schedule and consulting the home health department.
The Correct Answer is B
A. Obtaining an OT order and arranging for an occupational therapist to visit the home within 24 hours: OT is important for long-term recovery and home safety but is not a priority before the first ambulation after surgery.
B. Sitting the client up in bed slowly and dangling their feet at the bedside prior to ambulation: This helps prevent orthostatic hypotension, reduces dizziness, and allows safe transition before standing/walking.
C. Acquiring a walker for the client and setting up physical therapy sessions prior to discharge: PT involvement is valuable but not the immediate priority before the first ambulation at the bedside.
D. Asking the client to describe their exercise schedule and consulting the home health department: This may be useful for long-term planning, but it does not address immediate safety for first ambulation post-op.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Recap the needle after giving an injection: Avoid recapping needles because it increases the risk of accidental needlestick injuries; safe practice is to dispose of the needle/syringe immediately without recapping.
B. Use needleless devices whenever possible: Utilizing needleless systems and safety-engineered devices reduces the number of opportunities for percutaneous injury and is a recommended prevention strategy.
C. Remove needle and dispose in sharps box: After completing the procedure, the entire needle/syringe assembly should be placed directly into a puncture-resistant, clearly marked sharps container without recapping or removing the needle from the syringe.
D. Never force needles into the sharps disposal: Do not force items into the sharps container -forcing can lead to accidental puncture or spills; use an appropriate-sized container that is accessible and not overfilled.
E. Use clearly marked sharps disposal containers: Clearly labeled, puncture-resistant sharps containers placed at point of use are essential for safe, timely disposal and to minimize handling.
Correct Answer is A
Explanation
A. PO: Abbreviation from Latin per os, meaning “by mouth,” used to indicate oral administration of a medication.
B. ACHS: Stands for “before meals and at bedtime” (ante cibum, hora somni) and refers to timing relative to meals, not the route of administration.
C. PRN: Means “as needed” (pro re nata) and indicates dosing frequency/condition, not the route.
D. NPO: Means “nothing by mouth” (nil per os) and indicates the patient should not take anything orally, so it does not instruct oral administration.
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