In order to prevent the possibility of venous stasis, a nurse is educating a surgical client on how to perform leg exercises. Which statement by the client indicates a sound understanding of leg exercises?
"I'll make sure to do these, as long as my doctor doesn't tell me to stay on bed rest after my operation."
"I'll try to do these lying on my stomach so that I can bend my knees more fully."
"I'll practice these now and try to start them as soon as I can after my surgery."
"I'm pretty sure my stomach muscles are strong enough to lift both of my legs off the bed at the same time."
The Correct Answer is C
A. Bed rest orders may limit activity, but leg exercises are usually encouraged as soon as possible to prevent venous stasis unless contraindicated by the doctor.
B. Performing leg exercises lying on the stomach is less common and may be uncomfortable or contraindicated depending on the surgery.
C. Starting leg exercises before and immediately after surgery promotes circulation and helps prevent venous stasis and deep vein thrombosis.
D. Lifting both legs off the bed at once is a strenuous activity not typically recommended for preventing venous stasis and may not be safe postoperatively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Renal insufficiency does not directly increase risk for foot problems as much as diabetes does.
B. Type 2 diabetes significantly increases the risk of foot difficulties due to potential neuropathy and poor circulation, making this client most at risk.
C. Paraplegia increases risk for skin breakdown but diabetes poses a higher risk for foot ulcers and infections.
D. Coronary artery disease affects the heart but is less directly linked to foot complications compared to diabetes.
Correct Answer is A
Explanation
A. Incontinence and infrequent changing of adult diapers increase the risk of altered skin integrity, such as skin breakdown or pressure ulcers, due to prolonged exposure to moisture and irritation.
B. The Answer seems incomplete ("risk") and does not specify the type of risk.
C. Activity intolerance is not directly related to incontinence or diaper use.
D. While falls risk is important in older adults, it is not the primary concern related to incontinence and diaper changing.
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