Patient Data

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 []

Potential Exercise Type: Isometric Exercises

Isometric exercises involve muscle contraction without movement, which is beneficial for clients with fractures and those who need to maintain muscle strength while limiting joint movement.

After a right femur fracture and intermedullary rod placement, weight-bearing is likely restricted, making isometric exercises ideal for preventing muscle atrophy and promoting circulation without stressing the healing bone.

Actions to Take:

Have the client contract muscle group for ten seconds and then release: This is a core principle of isometric exercises, helping to engage muscles while minimizing movement.

Strengthens the quadriceps and hamstrings without putting pressure on the femur.

Have client conduct quad sets four times: Quadriceps setting exercises ("quad sets") involve contracting the quadriceps for a few seconds and then releasing, helping maintain muscle tone and circulation in the affected limb. Important for early rehab and preventing complications like deep vein thrombosis (DVT).

Parameters to Monitor:

Number of muscle group contraction and relaxation repetitions: Tracking frequency and consistency of isometric exercises ensures muscle engagement and rehabilitation progress. Helps evaluate compliance with therapy.

Pain level: Pain can limit participation in exercises and may indicate complications such as muscle strain or improper technique. Managing pain effectively ensures continued participation in rehabilitation.

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Correct Answer is A

Explanation

A. Jehovah’s Witnesses often refuse blood transfusions due to religious beliefs. The nurse should assess the client’s specific preferences regarding blood products, as some may accept alternatives like blood volume expanders.

B. The nurse should respect the client’s religious beliefs but is not responsible for arranging religious meetings.

C. The client’s personal decision regarding medical treatment takes precedence over input from a religious leader.

D. Acknowledging patience is courteous but does not address the medical and ethical concerns of blood transfusion.

A. Recent serum hemoglobin level of 16 g/dL (160 g/L). B. Expressed feelings of depression. C. Stooped posture with a steady gait. D. Opioid analgesic received one hour ago. E. Stooped posture with a steady gait.

Correct Answer is D

Explanation

A. A hemoglobin level within normal range does not indicate fall risk.

B. Depression may contribute to inactivity but does not directly increase fall risk.

C. Stooped posture alone is not necessarily a fall risk if gait remains steady.

D. Opioid use can cause dizziness, sedation, and impaired balance, increasing fall risk.

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Patient Data 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

The nurse is conducting an initial admission assessment for a woman who is a Jehovah's Witness and is scheduled to deliver a baby by Cesarean section within the next 24 hours. Which action should the nurse take?

Correct Answer is A

Explanation

Which assessment data reflects the need for the nurse to include the problem, "Risk for falls" in a client's plan of care? Reference Range: Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]

Correct Answer is D

Explanation

The nurse notifies the healthcare provider related to client information using the Situation, Background, Assessment, Recommendation (SBAR) technique. Which information should the nurse provide first?

A client on a mechanical soft diet is experiencing constipation and asks the nurse for a glass of prune juice. After auscultating decreased bowel sounds, which action should the nurse implement?

While measuring vital signs, the nurse observes that a client is using accessory neck muscles during respirations. Which follow-up action should the nurse take first?

The healthcare provider prescribes streptomycin 200 mg intramusculary every 12 hours. The vial is labeled, "Streptomycin I 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 educator is conducting a class for unlicensed assistive personnel (UAP). Which action indicates that a I-JAP understands gloving procedures?

Patient Data 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.

Patient Data

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.