A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days.
Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?

“Perform regular isometric exercises.”.

“Increase your intake of protein.”.

“Dangle your legs over the side of the bed.”.

“Use your incentive spirometer.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. “Dangle your legs over the side of the bed.” This helps prevent orthostatic hypotension, which is a form of low blood pressure that happens when standing after sitting or lying down.

Dangling the legs over the side of the bed allows blood to flow back to the heart and increases blood pressure before standing up.

Choice A is wrong because “Perform regular isometric exercises.” Isometric exercises are muscle contractions without movement, such as squeezing a ball or clenching a fist.

These exercises do not help with orthostatic hypotension because they do not improve blood circulation or blood pressure.

Choice B is wrong because “Increase your intake of protein.” Protein intake does not affect orthostatic hypotension directly.

However, staying hydrated by drinking plenty of fluids can help prevent or manage the condition by maintaining blood volume and blood pressure.

Choice D is wrong because “Use your incentive spirometer.” An incentive spirometer is a device that helps improve lung function after surgery by encouraging deep breathing.

It does not prevent orthostatic hypotension because it does not affect blood pressure or blood flow.

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Correct Answer is A

Explanation

The correct answer is choice A. Interlock her fingers and hold her hands away from her body above her waist.

This is because this position minimizes the risk of contaminating the sterile gloves by touching any non-sterile surfaces or objects.

The nurse should also keep her hands above her waistline to prevent contamination

Choice B is wrong because clasping the hands together behind the body at the waist could contaminate the gloves by touching the non-sterile gown or the skin

Choice C is wrong because placing one hand over the other against the part of the gown covering the upper body could contaminate the gloves by touching the non-sterile gown or the skin

Choice D is wrong because keeping the arms at the sides of the body with the hands in a relaxed position could contaminate the gloves by touching any nonsterile surfaces or objects

Sterile gloves are a type of disposable rubber gloves that are put through specific procedures to eliminate germs and microorganisms.

They are used to prevent and minimize infection during surgeries or invasive procedures

A. “Why do you think they don’t know what’s happening?” B. “It sounds like you have given up and want to stay mad at your family.”. C. “I think you and I need to talk about your anger with your family.” D. “You are feeling angry that your family continues to wish for a cure?”

Correct Answer is D

Explanation

The correct answer is choice D. “You are feeling angry that your family continues to wish for a cure?”.

This response reflects the client’s feelings and encourages further communication.

It also shows empathy and respect for the client’s situation.

Choice A is wrong because it implies that the client is responsible for their family’s lack of understanding.

It may also make the client feel defensive or guilty.

Choice B is wrong because it is judgmental and dismissive of the client’s feelings.

It may also discourage the client from expressing their emotions.

Choice C is wrong because it focuses on the nurse’s needs rather than the client’s.

It may also sound intrusive or presumptuous to the client.

Hospice care is for people who are in the final stages of an incurable illness and want to focus on comfort and quality of life rather than curative treatments.

Hospice care teams provide physical, emotional, social, and spiritual support to clients and their families.

Hospice care can be provided at home, in a hospital, in a nursing home, or in a specialized hospice center.

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A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is wearing sterile gloves in preparation for assisting with a client’s sterile procedure. While waiting for the procedure to begin, how should the nurse position her hands?

Correct Answer is A

Explanation

A nurse is caring for a client who was recently admitted to hospice care and tells the nurse, “I am going to die and my family is hoping for a cure. I am mad that they behave like everything will be fine.” Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days.
Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?