A nurse is reinforcing teaching with a client who has arthritis. Which of the following instructions should the nurse include in the teaching?
Use fingers to push off from the bed or chair.
Apply ice to the inflamed joint.
Sleep on a soft mattress.
Engage in low-impact aerobic exercises.
The Correct Answer is D
Choice A Reason:
Using fingers to push off from the bed or chair can strain the finger joints and worsen arthritis pain.
Choice B Reason:
Applying ice to an inflamed joint can provide temporary relief from inflammation and pain but is typically recommended for short periods and not as a long-term solution.
Choice C Reason:
C. Sleeping on a soft mattress may not provide adequate support for individuals with arthritis and can lead to joint discomfort. A mattress with appropriate firmness is often recommended for joint support.
Choice D Reason:
Engage in low-impact aerobic exercises. When teaching a client with arthritis, it is essential to provide instructions that promote joint health and reduce pain. Engaging in low-impact aerobic exercises is a beneficial recommendation. These exercises, such as swimming or stationary biking, can help improve joint flexibility, reduce stiffness, and enhance overall joint function without placing excessive stress on the joints.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Encourage the client to be assertive. One of the goals in managing a client with dependent personality disorder is to gradually increase their independence and self-confidence. Encouraging the client to be more assertive and make decisions for themselves, with appropriate guidance and support, can be beneficial in their long-term recovery. However, it should be done gradually and with the assistance of therapy and counseling. The other options are not appropriate:
Choice B Reason:
Assuming responsibility for making the client’s, decisions would not help the client develop independence and could perpetuate their dependency.
Choice C Reason:
Maintaining a verbal no-harm contract is not specifically related to managing dependent personality disorder. It might be relevant for clients with suicidal ideation or self-harm tendencies, but it's not a primary intervention for this condition.
Choice D Reason:
Limiting the client's social interactions is not a recommended approach. Encouraging healthy social interactions and relationships can be beneficial for clients with dependent personality disorder, as long as they are appropriate and not reinforcing dependency. Explanation
Correct Answer is C
Explanation
Choice A Reason:
"Sounds are soft and at a rate of 1/min" - This describes hypoactive bowel sounds, which are characterized by decreased motility, not hyperactive bowel sounds.
Choice B Reason:
"Indicates decreased motility" - This is a correct statement about hypoactive bowel sounds, not hyperactive bowel sounds.
Choice C Reason:
Sounds are high-pitched. Hyperactive bowel sounds are characterized by sounds that are loud and high-pitched. These sounds are often more frequent and rapid than normal bowel sounds, indicating increased motility of the gastrointestinal tract. Hyperactive bowel sounds can be associated with conditions like diarrhea or early bowel obstruction and are the opposite of hypoactive bowel sounds, which are soft and indicate decreased motility. Paralytic ileus, on the other hand, is a condition that can lead to hypoactive or absent bowel sounds.
Choice D Reason:
"Can be a result of a paralytic ileus" - Paralytic ileus typically results in hypoactive or absent bowel sounds, not hyperactive bowel sounds.
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