A nurse is planning care for a client who has left-sided hemiplegia. Which of the following actions should the nurse include in the plan?
Initiate frequent, short periods of exercise throughout the day.
Decrease the amount of range of motion performed if tightness occurs.
Perform range-of-motion exercises to the affected side once per day.
Avoid repetitive movements during exercise.
The Correct Answer is A
A) Initiate frequent, short periods of exercise throughout the day: Frequent, short periods of exercise are beneficial for a client with left-sided hemiplegia. Regular movement helps maintain joint flexibility, muscle strength, and overall functional ability. This approach can prevent complications such as contractures and muscle atrophy.
B) Decrease the amount of range of motion performed if tightness occurs: If tightness occurs, rather than decreasing range of motion, it is important to address it through appropriate stretching and adjustments in exercise technique. Reducing range of motion could lead to further loss of mobility and function.
C) Perform range-of-motion exercises to the affected side once per day: Performing range-of-motion exercises only once per day is generally insufficient. To maintain or improve mobility and prevent contractures, range-of-motion exercises should be performed multiple times throughout the day, as directed by the care plan.
D) Avoid repetitive movements during exercise: Repetitive movements are not necessarily harmful and can be beneficial for improving motor function and muscle coordination. However, it is important to balance repetitive exercises with variety and adjust based on the client’s condition and tolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "This medication might cause urinary frequency": Meclizine is not commonly associated with urinary frequency. It is an antihistamine used primarily to manage symptoms of vertigo and motion sickness rather than affecting urinary function.
B) "This medication might cause an increase in your blood sugar": Meclizine does not typically affect blood sugar levels. Concerns about blood sugar levels are more relevant to other medications, such as corticosteroids or certain antihypertensives, rather than meclizine.
C) "This medication might cause you to have excess saliva": Excess saliva is not a common side effect of meclizine. Antihistamines like meclizine usually have the opposite effect, potentially causing dry mouth rather than an increase in saliva.
D) "This medication might cause drowsiness": Drowsiness is a known side effect of meclizine, as it is an antihistamine with sedative properties. This effect can be significant for some individuals, so it's important for clients to be aware of this potential impact on their daily activities.
Correct Answer is B
Explanation
A) "You will be allowed to drive yourself home within 6 hours following the procedure."This statement is incorrect. After an esophagogastroduodenoscopy (EGD), the patient is typically sedated, and the sedation can affect their alertness, coordination, and judgment. It is generally recommended that patients arrange for someone else to drive them home. It is unsafe for the patient to drive themselves after sedation, even if they feel alert. The nurse should instruct the client to have someone accompany them to the procedure and drive them home afterward.
B) "You might experience a hoarse voice for several days following the procedure."This statement is correct. A hoarse voice is a common and expected side effect after an esophagogastroduodenoscopy, as the procedure involves passing a flexible tube (endoscope) through the mouth and throat. The endoscope may cause irritation to the vocal cords or the lining of the throat, leading to a hoarse voice that can last for a few days. This is a normal, transient effect and should be explained to the patient in advance so they are not alarmed.
C) "You can have a clear liquid diet for breakfast prior to the procedure."This statement is incorrect. For most procedures like EGD, patients are typically instructed to fast for at least 6 to 8 hours prior to the procedure to ensure the stomach is empty. Having food or liquids before the procedure may increase the risk of aspiration or interfere with the examination. The nurse should educate the client to follow fasting instructions and avoid consuming any food or liquids, including clear liquids, as per the healthcare provider's guidelines.
D) "You should not take any of your routine medications until after the procedure is complete."
This statement is generally incorrect. Many patients are instructed to continue taking routine medications, especially if they are vital for managing chronic conditions, unless otherwise directed by the healthcare provider. In some cases, medications such as anticoagulants, aspirin, or certain blood pressure medications may need to be withheld temporarily before the procedure. However, the nurse should clarify with the healthcare provider which medications the client should stop or continue taking before the procedure. The patient should not withhold medications on their own without proper guidance.
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