The newly admitted patient has contractures of both lower extremities.
What nursing intervention should be included in this patient's plan of care?

Weight-bearing activities to stimulate joint relaxation.

Exercises to strengthen flexor muscles.

Range of motion exercises to prevent worsening of contractures.

Frequent position changes to reverse the contractures.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Weight-bearing activities are not suitable for a patient with contractures, as they may worsen joint stiffness and discomfort. Engaging in weight-bearing activities could lead to further limitations in joint mobility and exacerbate the contractures.

Choice B rationale:

Exercises to strengthen flexor muscles might be beneficial in other contexts, but for a patient with contractures, the focus should be on improving joint mobility and preventing the contractures from worsening. Strengthening exercises do not directly address the issue of limited joint mobility caused by contractures.

Choice C rationale:

Range of motion exercises are essential for patients with contractures. These exercises involve moving joints through their full range of motion to maintain or improve joint flexibility. Regularly performing range of motion exercises prevents further tightening of muscles and joints, thereby preventing the worsening of contractures.

Choice D rationale:

Frequent position changes are important to prevent pressure ulcers and maintain overall comfort, but they do not specifically address the issue of contractures. While position changes are necessary, they are not the primary intervention for managing contractures.

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Correct Answer is A

Explanation

Choice A rationale:

"I'm sorry, I didn't hear what you said about your job. Please tell me again.”. This response demonstrates active listening and empathy. It acknowledges the patient's feelings and encourages them to share their concerns, promoting therapeutic communication. By asking the patient to repeat what they said, the nurse shows genuine interest in understanding the patient's emotions and concerns, fostering trust and rapport.

Choice B rationale:

"Why are you crying so hard about your job? What happened to your job?" This response, while well-intentioned, may come across as intrusive and judgmental. It does not encourage open communication and may make the patient feel defensive, hindering the nurse-patient relationship.

Choice C rationale:

"It's natural to be worried about your job. We all worry about our jobs sometimes.”. While this response acknowledges the patient's feelings, it does not address the specific concern the patient mentioned. It generalizes the situation and does not invite the patient to share more about their feelings, missing an opportunity for deeper communication and understanding.

Choice D rationale:

"Your job must be important to you since you are talking about it.”. This response makes an assumption about the importance of the patient's job without allowing the patient to express their feelings. It does not demonstrate active listening or empathy and may not encourage the patient to open up further about their concerns.

A. The electronic medical records are available even during a power outage. B. The electronic medical record allows for more timely documentation. C. The patient's electronic medical record is available to all members of the patient's healthcare team at the same time. D. The electronic medical record is being updated continuously and so it allows for continuity of care.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale:

Electronic medical records being available even during a power outage is a significant advantage. This ensures healthcare providers can access critical patient information, which is essential for patient safety and continuity of care, especially during emergencies.

Choice B rationale:

Timely documentation is facilitated by electronic charting, as it eliminates the delays associated with manual paperwork. Healthcare providers can input data efficiently, reducing the risk of errors and ensuring that the patient's information is up-to-date.

Choice C rationale:

The patient's electronic medical record being available to all members of the healthcare team simultaneously promotes collaborative and coordinated care. This real-time access enables healthcare professionals to make informed decisions based on the most recent patient data, leading to improved patient outcomes.

Choice D rationale:

Continuous updates in the electronic medical record system enhance continuity of care. The ability to access the most recent information ensures that all healthcare providers are aware of the patient's current status, ongoing treatments, and any changes in their condition. This knowledge is vital for delivering safe and effective care.

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The newly admitted patient has contractures of both lower extremities.What nursing intervention should be included in this patient's plan of care?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is ["A","B","C","D"]

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The newly admitted patient has contractures of both lower extremities.
What nursing intervention should be included in this patient's plan of care?