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

Explanation

B. Assisting the client to a bedside commode after meals can help take advantage of the gastrocolic reflex, which typically stimulates bowel movements after eating. This timing may increase the likelihood of successful bowel evacuation and decrease the risk of soiling the bed and clothing.
A. Rectal tubes are sometimes used for bowel management in individuals with chronic fecal incontinence, but they are typically reserved for specific situations and are not commonly used as part of a routine bowel training regimen.
C. Glycerin suppositories are sometimes used to stimulate bowel movements in individuals with constipation, but they are not typically recommended as a routine intervention for managing fecal incontinence.
D. Incontinence briefs can help contain fecal soiling and minimize embarrassment associated with accidents but they do not address the underlying issues contributing to fecal incontinence.

A. Communicate the colleague's activities to the unit charge nurse. B. Send an email to facility administrators reporting the action. C. Dispose the copies and continue with client care assignments. D. Warn the colleague that copying health information is unlawful

Correct Answer is A

Explanation

A. Communicating the colleague's activities to the unit charge nurse allows for immediate action to address the situation. The charge nurse can take steps to ensure that patient information is handled appropriately and that staff members receive proper education and reminders about patient confidentiality and privacy policies.
B. While reporting the incident to facility administrators may be necessary if the issue is not resolved at the unit level or if there are concerns about systemic problems with maintaining patient privacy, it is generally best to address the issue internally first before escalating to higher levels of management.
C. Simply disposing of the copies may not address the root cause of the problem and may not prevent similar incidents from occurring in the future.
D. While informing the colleague about the potential legal implications of leaving patient information unattended is important, it may not be sufficient to prevent future incidents.

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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 with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing. When establishing a bowel training regimen, which intervention should the nurse implement?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

The nurse observes the unlicensed assistive personnel (UAP) securing a client's wrist restraints to the bedside rails. Which action is most important for the nurse to implement?

The nurse is teaching a client about a newly prescribed medication. To confirm that the client is learning the critical information, which strategy is most important for the nurse to include during the instruction?

The nurse observes a practical nurse (PN) performing oral care on an unconscious client. Which action by the PN indicates to the nurse the need for additional training?

The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain. Which intervention should the nurse implement first

The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?

The nurse is teaching the client to self-administer a dose of low molecular weight heparin SUBQ. Which instruction should the nurse include?

The nurse is assessing a client who reports a 3 day history of vomiting and diarrhea and experiencing difficulty in tolerating oral fluids. Which urine specific gravity value would the nurse expect to see on initial testing? Reference Range: Urine Specific Gravity [1.005 to 1.03]

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.