Exhibits

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Given the post-operative status and the need for physical therapy to increase mobility, the most appropriate type of exercise for the client at this stage would likely be isometric exercises. Isometric exercises involve muscle contractions without joint movement, making them suitable for early-stage rehabilitation after surgery or injury. They help in strengthening muscles without putting too much stress on the healing tissues.

Monitoring endurance can help assess the client's overall strength and stamina, providing insights into their progress during rehabilitation. Monitoring pain is crucial to ensure that the exercises are not causing excessive discomfort or exacerbating pain post-surgery. Pain can indicate potential issues with healing or inappropriate intensity of the exercises.

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Correct Answer is ["B","C","E"]

Explanation

B. Sending wound drainage for culture and sensitivity helps identify the specific bacteria causing the infection and determine the most appropriate antibiotic therapy.
C. Instituting contact precautions for staff and visitors is essential to prevent the spread of MRSA to other clients and healthcare workers.
E. Monitoring the client's white blood cell count can provide information about the body's response to infection and the effectiveness of treatment.
A. While using standard precautions, including wearing a mask, is a general practice, it is not specifically required for MRSA unless there is a risk of droplet transmission, which is not typical for MRSA infections.
D. Explaining the purpose of a low bacteria diet (Option D) is not a standard intervention for MRSA infections.

A. Provide a very well-lit meeting space. B. Underline key words on the written information. C. Speak loudly and face the client. D. Use everyday language when explaining issues.

Correct Answer is D

Explanation

D. Using everyday language when explaining health-related issues is crucial when teaching older adult clients. Many older adults may have limited health literacy or cognitive impairments, so using complex medical terminology or jargon can lead to confusion and misunderstandings. By using simple, everyday language, the nurse can ensure that the information is easily understood and retained by the older adult clients.
A. Older adult clients may have visual impairments or difficulties with low lighting, so providing a well-lit meeting space is important for optimal visibility and comprehension. However, use of everyday language is more important.
B. Underlining key words on written materials can help older adult clients focus on important information and improve comprehension. However, use of everyday language is more important.
C. While it's important for the nurse to speak clearly and audibly, speaking loudly may not be necessary or appropriate, as it can be perceived as patronizing or intimidating.

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Exhibits Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is paraplegic is admitted with a foul-smelling drainage from a sacral ulcer. The client is suspected to have a methicillin resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

When providing health teaching to older adult clients, which action is most important for the nurse to implement?

Correct Answer is D

Explanation

The nurse is teaching a client about use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?

The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the specimen to the laboratory. During which part of this procedure should the nurse wear gloves?

After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?

An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. What action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.

The nurse is administering an intradermal (ID) injection to a client. Which action should the nurse take?

The healthcare provider prescribes streptomycin 200 mg IM every 12 hours. The vial is labeled, "Streptomycin 1 gram/2.5 mL How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

The nurse in a skilled nursing facility observes a colleague leaving printed electronic medical record (EMR) copies of a client unattended on a counter top. Which action should the nurse implement?

A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?

Exhibits

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.