A nurse is caring for a patient who has herpes zoster and is inquiring about the use of complementary and alternative therapies.
Which of the following actions should the nurse take to reduce the patient’s risk of developing plantar flexion contractures?

Place a pillow under the patient’s knees.

Position a trochanter roll under each of the patient’s hips.

Advise the patient to wear rubber-soled slippers.

Apply an ankle-foot orthotic device to the patient’s feet.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Placing a pillow under the patient’s knees can actually increase the risk of plantar flexion contractures by keeping the foot in a flexed position.

Choice B rationale

Positioning a trochanter roll under each of the patient’s hips would not directly prevent plantar flexion contractures. Trochanter rolls are typically used to maintain alignment and prevent external rotation of the hip.

Choice C rationale

Advising the patient to wear rubber-soled slippers would not directly prevent plantar flexion contractures. While rubber-soled slippers can provide safety benefits such as preventing slips and falls, they do not have a direct impact on the prevention of contractures.

Choice D rationale

Applying an ankle-foot orthotic device to the patient’s feet can help maintain the foot in a neutral position, thereby reducing the risk of developing plantar flexion contractures.

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Correct Answer is C

Explanation

Choice A rationale

A cup of soup is typically 240 mL, so 2 cups would be 480 mL, which is more than 120 mL1.

Choice B rationale

A quart is a unit of volume equal to 946 mL, which is significantly more than 120 mL1.

Choice C rationale

8 oz of ice chips is approximately equivalent to 120 mL2. This is because when ice melts, it reduces in volume by about half, so 8 oz of ice chips would melt to about 4 oz of water, which is approximately 120 mL2.

Choice D rationale

6 oz is approximately 177 mL, which is more than 120 mL2.

A. Gently press on the tragus of the patient’s ear. B. Pack a small piece of cotton deep into the patient’s ear canal. C. Move the patient’s auricle down and back towards their head. D. Tilt the patient’s head backward for 5 minutes.

Correct Answer is A

Explanation

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

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A nurse is caring for a patient who has herpes zoster and is inquiring about the use of complementary and alternative therapies.Which of the following actions should the nurse take to reduce the patient’s risk of developing plantar flexion contractures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting a client’s fluid intake over the past 8 hours. Which of the following items should be recorded as 120 mL of fluid in the client’s intake and output record?

Correct Answer is C

Explanation

A nurse is administering an otic medication to an older adult patient.Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Correct Answer is A

Explanation

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A nurse is caring for a patient who has herpes zoster and is inquiring about the use of complementary and alternative therapies.
Which of the following actions should the nurse take to reduce the patient’s risk of developing plantar flexion contractures?