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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E","F"]
Explanation
A. Exercise in the evening – Evening exercise can be stimulating and interfere with sleep. Morning or early afternoon exercise is preferable.
B. Watch television in bed to fall asleep – Screen exposure can suppress melatonin production and disrupt sleep.
C. Take an analgesic before bed – Unless pain is the reason for insomnia, this is not recommended.
D. Avoid alcohol in the evening – Alcohol can disrupt sleep patterns and prevent deep, restful sleep.
E. Try to go to bed and awaken at the same time every day – Maintaining a consistent sleep schedule improves sleep quality by regulating the body's circadian rhythm.
F. Avoid naps – Napping during the day, especially long naps, can make it harder to fall asleep at night.
G. Eat a heavy meal before bed – A heavy meal can cause discomfort and disrupt sleep.
Correct Answer is B
Explanation
A. Lubricants can help, but they do not address the risk of sexually transmitted infections (STIs).
B. Unprotected intercourse increases the risk of STIs, making safe sex education the priority.
C. Positioning may help prevent tears but does not address the risk of STIs.
D. Alternative ways to express sexuality may be useful but are not the most critical teaching point.
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