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A patient has a hip spica cast and will be discharged home to family. The nurse would include in the home education plan information relative to: (Select all that apply.)

using the spreader bar to turn the patient.

protecting the cast from soiling.

grasping the cast over the leg to help in turning.

easing itching under the cast by scratching with a bent coat hanger.

turning frequently to the prone position.

Answer and Explanation

Correct Answer : B,E

A. Using the spreader bar to turn the patient.

The spreader bar is not designed for lifting or turning; it maintains cast shape and stability.

B. Protecting the cast from soiling.

Soiling the cast can lead to skin irritation and infection, especially in the perineal area.

C. Grasping the cast over the leg to help in turning.

This can cause pressure points or cast damage; turning should be done using proper support techniques.

D. Easing itching under the cast by scratching with a bent coat hanger.

This is unsafe and can cause skin injury or infection under the cast.

E. Turning frequently to the prone position.

Frequent position changes, including prone if tolerated, help prevent pressure sores and promote circulation.

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Correct Answer is B

Explanation

A. maintaining strength in muscles.

This is a benefit of ROM exercises, but it does not directly explain how venous return improves.

B. compression of muscles on venous walls.

Muscle contraction compresses veins, helping to push blood back toward the heart, improving venous return.

C. vasodilation.

Vasodilation increases blood flow, but doesn’t directly enhance venous return in the context of ROM.

D. increased metabolism.

Increased metabolism is a systemic benefit of exercise but is not the primary mechanism of improved venous circulation.

A. Determining the client's mobility B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel C. Introducing health care team members to the client D. Understanding the client's routine for his own care at home

Correct Answer is D

Explanation

A. Determining the client's mobility

Important for safety and fall prevention, but not the first priority during care planning.

B. Explaining the roles of the RN, licensed practical nurse, and assistive personnel

This is part of orientation and education but does not help in personalized care planning.

C. Introducing health care team members to the client

While courteous and important for building rapport, it’s not the first step in individualized care planning.

D. Understanding the client's routine for his own care at home

This helps in personalizing the care plan to maintain the client’s independence and preferences, especially for older adults in long-term care.

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A patient has a hip spica cast and will be discharged home to family. The nurse would include in the home education plan information relative to: (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

The nurse explains that range of motion exercises are necessary so that movement improves venous circulation by:

Correct Answer is B

Explanation

A nurse is caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting with planning the client's care?

Correct Answer is D

Explanation

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